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 (officials@usacycling.org).

Individual Completing this Request Form

Relationship to athlete (select): *

Self

Parent/Legal Guardian

Other (please specify): Other (please specify):

If not the athlete or athlete’s parent/legal guardian, is the athlete’s parent/legal guardian aware of this request? *

Yes

Information of individual completing this form:

First Name *

Last Name *

Email Address *

Phone Number *