2019 Qiansen Trophy Cyclo-cross C1 Event Registration Form

This questionnaire is paused!
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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