USAC Waiver Info

La Roue d'Or, LLC
Cycling Consulting and Promotion

USAC Waiver Info

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Notes:
- your registration is complete only after we receive payment confirmation;
- you can provide information for up to 3 riders in once;
- make sure to enter valid E-mail addresses in case we need to contact you for changes in event schedules;
- contact us if you would like to register more than 3 riders;
- the information we collect here is for the sole use of La Roue d'Or to prepare USAC waivers and is neither sold nor provided to third parties.

Rider #1 information
Name 1
License 1	Select "One day" if Rider 1 does not have an annual USAC license
License #1	USAC license # of Rider 1 (if applicable)
Category 1	If entered "one-day' above, select Woman 4 or Man 5
Racing age 1	What is my racing age?
Phone 1
E-mail 1
Emergency 1	Enter emergency contact name and phone number
Rider #2 information
Name 2
License 2	Select "One day" if Rider 2 does not have an annual USAC license
License #2	USAC license # of Rider 2 (if applicable)
Category 2
Racing age 2	What is my racing age?
Phone 2
E-mail 2
Emergency 2	Enter emergency contact name and phone number
Rider #3 information
Name 3
License 3	Select "One day" if Rider 3 does not have an annual USAC license
License #3	USAC license # of Rider 3 (if applicable)
Category 3
Racing age 3	What is my racing age?
Phone 3
E-mail 3
Emergency 3	Enter emergency contact name and phone number