USA Cycling Transgender Athlete Participation Policy: Self-Identity Verification Request

Note: For the Request involving an athlete under the age of 18, this request form must be completed by the athlete’s parent/legal guardian.
For any questions or concerns while completing this form, please contact the Technical Director (  

Individual Completing this Request Form

Relationship to athlete (select): *
If not the athlete or athlete’s parent/legal guardian, is the athlete’s parent/legal guardian aware of this request? *
Information of individual completing this form:
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