|
2010 Series Application Form
Print out and mail … or use e-mail (see
below).
Name:
____________________________ |
Phone:
(Day) __________________ Phone:
(Eve) __________________ E-mail:
________________________ RUSA
member #: _________ Applied for |
Register
for one or more Events:
|
Dist. |
Day |
Date |
Route
and Details |
Req. |
Dead-line ** |
|
|
103km |
Sun. |
Mar 21 |
|
|
|
|
|
106km |
Sun. |
Apr 4 |
|
|
|
|
|
116km |
Sun. |
Apr
11 |
|
|
|
|
|
200km |
Sat. |
Apr
17 |
Drake Doubleback - new route |
|
|
|
|
200km |
Sat. |
May
1 |
Stove Prairie counterclockwise |
|
|
|
|
360km+ |
Fri. |
May
7◊ |
Colorado Front Range Flèche
– |
RL |
Apr 15 |
|
|
300km |
Sat. |
May
15 |
L |
|
|
|
|
600km |
Sat. |
May 22 |
St. Vrain Canyon + Kersey or other TBD |
L |
May 15 |
|
|
400km |
Sat. |
Jun
5 |
L |
|
|
|
|
600km |
Sat. |
Jun 19 |
L |
|
|
|
400km |
RL |
Jun 14 |
|
||||
|
200km |
Sat. |
July
10 |
|
|
|
|
|
400km |
Sat. |
Jul
17 |
RL |
Jul 14 |
|
|
600km |
RL |
Jul 14 |
|
||||
1000km |
RL |
Jul 14 |
|
||||
|
400km |
Sat. |
Jul
31 |
L |
Jul 25 |
|
|
|
300km |
Sat. |
Aug
14 |
L |
|
|
|
|
200km |
Sat. |
Aug
28 |
|
|
|
|
|
1200km |
Wed. |
Sep 15 |
Last Chance – use Last Chance application form |
RL$Q |
Aug 15 |
|
1000km |
Last Chance 1000km option – use LC application form |
RL$ |
Aug 15 |
|
|||
|
200km |
Sat. |
Sep
18 |
Last
Chance
200km option – use LC application form |
|
Aug 15 |
|
|
200km |
Sat. |
Sep
25 |
Stove Prairie clockwise |
|
|
|
|
200km |
Sat. |
Oct
2 |
|
|
|
|
|
129km |
Sat. |
Oct
9 |
|
|
|
|
$ - Event has a cost-recovery fee. Q –
Qualification required: event organizer will contact you. # - Event
has a rider cap. R – Registration required by deadline date. L – Lighting required. ◊ Flèche team captain must submit a Flèche Application. |
|||||||
§ RMCC Membership is required for insurance purposes except for events flagged with "§". If you aren’t currently an RMCC member, indicate which type of membership you desire: Individual Family |
RMCC
Membership
$25 (individual) or $35 (family) |
$____ Make check payable
to: Rocky Mountain Cycling Club. |
Important! - The 1000k's and some other events are subject to cancellation. Pre-registration is required
-- pre-registration allows us to gauge whether there are enough participants to
hold the brevet, and to notify you in case of cancellation.
Instructions - Print this form, fill it in, and send it (with check for event fee or RMCC membership if needed) to: Rocky Mountain Cycling Club, Attention Brevet Series, P. O. Box 201, Wheat Ridge, CO 80034-0201.
Register by E-mail - If you are already an RMCC member and your
events have no fees, you may register by sending an e-mail indicating which
events (with DATES -- for example "300km brevet on August 20th") you
are applying for, to John Lee Ellis, Colorado Regional Brevet Administrator.