2019 Qiansen Trophy Cyclo-cross C1 Event Registration Form

Two C1 Races will strat on 1st Sept in Aohan Station and 7th Sept in Fengfeng Station respectively, same places as last year.

Note: Registration can only be applied for two races altogether, which means riders must participate in both two races. Also, a team shall contain at least two riders and a team manager, which means the ratio of rider to team manager should be higher than 2: 1
1.
Full Name:*
2.
Gender:*
3.
Date of Birth:*
4.
Nationality *
5.
Passport Number:*
6.
Copy of Passport:*
7.
Email: *
8.
Phone:*
9.
Contact Address:*
10.
Team Name (Riders from same team must type in consistent team name):*
11.
Title: *
12.
UCI Code: *
13.
Copy of UCI licence: *
14.
UCI Ranking (latest):*
15.
 Please introduce your career and honor you have achieved to attract your fans in China after publishing:*
16.
Please  share your stories, which may become eye-catching news. As we will pick some riders for interview on CCTV5 (the largest sports broadcaster in China.)*
17.
Photos to be on local media (1):
18.
Photos to be on local media (2):
19.
Photos to be on local media (3):
20.
How many times have you participated in Qiansen Race (including 2019)? *
21.
In which year have you participated in Qiansen Race? * 【Multiple】
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