Registration

Registration U.S. Kids Track Cycling Challenge

* Indicates required field

Racer Name *

First

Last

Gender *

Male Female

Date of Birth *

USAC Racing License Number ( USAC license required to race) *

Parent Name *

First

Last

Parent Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

How did you first learn about this event? *

Did athlete ride in the 2016 National Track Championship? *

Yes No

Home Velodrome *

Club Name *

Club Website *

Participant Tee-shirt Size (youth) *

Small Medium Large X-Large

I understand that the rider entry fee must be paid to complete the registration process. [ Please visit website store to pay entry ] *

Yes

Submit Registration