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Physio Racing Team Registration Form
To complete your registration, please fill-out this form and return it to
secretary@physioracing.org
.
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* Indicates required question
Email
*
Your email
Gender Identity
*
Female
Male
Other:
Required
2021 Racing Age (age as of 12/31/2021)
*
Your answer
Discipline(s)
*
Road
Gravel
Cross
Mountain
Other:
Required
USAC #
Your answer
New or Returning Member?
*
New
Returning
Required
Years on Physio Racing
*
Your answer
Number of Races Past Calendar Year (List Dates/Names)
*
Your answer
Volunteer Hours Past Calendar Year (List Dates/Details)
*
Your answer
What are your goals for next season?
*
Your answer
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