Expression of Interest for Cycling Ireland's Junior International Programme 2021

Junior 2021 Information Meeting

Cycling Ireland 2021 junior men and women (born in 2003 and 2004) are invited to register for a Zoom meeting with our High Performance coaches which will take place on the evening of Thursday 17th December at 19:00 (Zoom link to be distributed on Wednesday 16th December).

The purpose of this meeting is to provide information to junior riders about Cycling Ireland’s International plans for 2021 (Covid permitting) and the Cycling Ireland Athlete Development Programme for juniors.

**Please note that all correspondence for applicants below the age of 18 will be through the parent or guardian included in this application.**

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* 1. Applicant's Name (Forename & Surname):

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* 2. Applicant's Date of Birth:

Date

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* 3. Applicant's age:

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* 4. Applicant's gender

Male

Female

Other

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* 5. Applicant's details:

City/Town

Country

Email Address

Phone Number

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* 6. Applicant's parent/guardian's details:

Name

City/Town

Country

Email Address

Phone Number

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* 7. Cycling Ireland license number.

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* 8. What cycling discipline(s) do you train and compete in?

Road

Track

BMX

Off-Road DH

Off-Road Cyclocross

Other (please specify)

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* 9. What is the name of your current club or team?

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* 10. Do you have access to a smart trainer at home?

Yes

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* 11. For athletes: I understand that where I am below the age of 18 that all communication will be made through the parent/guardian I have listed in this form.

Yes