Colorado Brevets 2008 Application Form

Colorado Brevet Series
Rocky Mountain Cycling Club
Randonneurs USA

2009 Series Application Form

Print out and mail … or use e-mail (see below).

Name: ____________________________ Address: __________________________ _______________________________ City: _____________________________ State/Prov.: _____ ZIP/Postal Code: _______	Phone: (Day) __________________ Phone: (Eve) __________________ E-mail: ________________________ RUSA member #: _________ Applied for

Name: ____________________________

Address: __________________________

_______________________________

City: _____________________________

State/Prov.: _____ ZIP/Postal Code: _______

Phone: (Day) __________________

Phone: (Eve) __________________

E-mail: ________________________

RUSA member #: _________ Applied for

Register for one or more Events:

Dist.	Day	Date	Route (click for details)	Req.	Dead-line
103km	Sun.	Mar 22	Lyons - Berthoud populaire (new!)
106km	Sun.	Apr 5	Carter Lake populaire
200km	Sat.	Apr 18	Stove Prairie counterclockwise
122km	Sun.	Apr 19	Horsetooth populaire
200km	Sat.	May 2	Kersey - Kick
360km+	Thu.	May 7	Colorado Front Range Flèche – Louisville finish	RL◊	Apr 15
300km	Sat.	May 16	Black Forest	L
400km	Sat.	Jun 6	Lefthand Canyon	L
600km	Sat.	Jun 20	St. Vrain Canyon + Kersey	L
1000km	Sat.	Jun 20	St. Vrain Canyon + Ft. Morgan + Estes Park	RL	Jun 14
400km	Sat.	Jul 25	St. Vrain Canyon	RL	Jul 14
600km			St. Vrain Canyon + Kersey	RL	Jul 14
1000km			St. Vrain Canyon + Ft. Morgan + Estes Park	RL	Jul 14
300km	Sat.	Aug 8	Peak-to-Peak	L
200km	Sat.	Aug 15	Black Forest
1200km	Wed.	Sep 9	Last Chance Use the Last Chance application	RL$Q§	Aug 15
1000km	Wed.	Sep 9	Last Chance 1000km option (use Last Chance app.)	RL$§	Aug 15
200km	Sat.	Sep 19	Stove Prairie clockwise
129km	Sun.	Oct 11	Apple Valley populaire

$ - 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.