ECA Euro Blocks 2022 Application Form

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Hard deadlines:

Block 1: Submit by Friday, September 23, 2022.
Block 2: Submit between Friday, September 23 - Wednesday, 26 October, 2022.

Full Name (how it reads on your passport) *

Email address *

Phone *

Cx Racing Age (2022-23)
*

UCI ID (11 digit number on your USAC license page/account): *

Date of Birth (day/month/year) E.g. 29 April 2004 *

USAC License #: *

I hold a valid US passport (whose expiration date is after March 1, 2023) and I have both a valid UCI 2022 license and will apply (on Dec 1, 2022) for a valid UCI 2023 license (in time for ECA Block 2). Comment on status: *

Your 2022-23 Official Cx Team Name: (note: in Europe, for non-world cups, you will be racing for ECA). *

Block applying for? *

Block 1: October 19 to November 3, 2022

Block 2: December 26, 2022 to January 9, 2023

I would like to be considered for both blocks.

Clothing: for world cups, athletes must wear USA kit. For non-world cups, athletes wear ECA kit. Please select your best size. (2022-23 clothing brand: Verge):

XXS

MED

XXL

Any special notes to clothing size preference above? *

If on ECA short list for Block 1, petition form for Tabor, CZE World Cup (hard deadline: submit to USAC by Monday, 26 September 2022):

https://www.teamworksapp.com/ext2/5405a0e3-8c69-4918-ac20-c9f43189b984

Will do.

If on ECA short list for Block 1, petition form for Rucphen, NED World Cup (hard deadline: submit to USAC by Monday, 26 September 2022):

https://www.teamworksapp.com/ext2/9d14a631-1a87-4167-90e1-b166861194da

Will do.

If on ECA short list for Block 2, petition form for Zonhoven, BEL World Cup (submit to USAC by Wednesday, 2 November 2022):

https://www.teamworksapp.com/ext2/6bf92a01-51e8-45fe-b04e-f0ce00bf77f0

Will do.

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