Wyatt Weisel Team Pursuit (TP) Grant Application

Athlete's First and Last Name: *

Athlete's Email Address: *

Are you 18 years or older? *

Yes

No

Parent/Guardian Name *

Parent/Guardian email address:  *

Have you participated in a TP activity (training camp or competition) with USA Cycling in the past 12 months? *

Are you receiving Gold level National Team Designation support? *

Are you on a WT or WWT contract? *

Please describe how the requested funding will help offset daily living and training expenses associated with being an active member of USA Cycling's TP Program. (300 words or less)  *

Thank you for submitting your application!