2026 REGISTRATION PORTAL Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2Team Name *Team Contact Email *Manager's Name *FirstLastCoach's Name *FirstLastPrimary Mechanic's Name *FirstLastTeam Emergency Contact *FirstLastEmergency Contact NumberTeam Insurance Provider *If none, input N/AUpload Your Team Profile * Drag & Drop Files, Choose Files to Upload Upload Your Team Photo * Drag & Drop Files, Choose Files to Upload Team Captain Name *FirstLastUnder 23? *YesNoTeam Captain Contact Number *UCI License Number *Team Caption Individual Photo * Drag & Drop Files, Choose Files to Upload Full body photo and must be wearing a cycling jersey.Team Member Name (1) *FirstLastUnder 23? *YesNoTeam Member (1) Contact Number *UCI License Number (1) *Team Member (1) Individual Photo * Drag & Drop Files, Choose Files to Upload Full body photo and must be wearing a cycling jersey.Team Member Name (2) *FirstLastUnder 23? *YesNoTeam Member (2) Contact Number *UCI License Number (2) *Team Member (2) Individual Photo * Drag & Drop Files, Choose Files to Upload Full body photo and must be wearing a cycling jersey.Team Member Name (3) *FirstLastUnder 23? *YesNoTeam Member (3) Contact Number *UCI License Number (3) *Team Member (3) Individual Photo * Drag & Drop Files, Choose Files to Upload Full body photo and must be wearing a cycling jersey.Team Member Name (4) *FirstLastUnder 23? *YesNoTeam Member (4) Contact Number *UCI License Number (4) *Team Member (4) Individual Photo * Drag & Drop Files, Choose Files to Upload Full body photo and must be wearing a cycling jersey.Team Member Name (5) *FirstLastUnder 23? *YesNoTeam Member (5) Contact Number *UCI License Number (5) *Team Member (5) Individual Photo * Drag & Drop Files, Choose Files to Upload Full body photo and must be wearing a cycling jersey.Team Member Name (6) *FirstLastUnder 23? *YesNo Team Number Member Team Member (6) Contact Number *UCI License Number (6) *Team Member (6) Individual Photo * Drag & Drop Files, Choose Files to Upload Full body photo and must be wearing a cycling jersey.Substitute Rider (1)FirstLastUnder 23? YesNoSubstitute Rider (1) Contact NumberUCI License Number (SR1)Substitute Rider (1) Individual Photo Drag & Drop Files, Choose Files to Upload Full body photo and must be wearing a cycling jersey.Substitute Rider (2)FirstLastUnder 23?YesNoSubstitute Rider (2) Contact NumberUCI License Number (SR2)Substitute Rider (2) Individual Photo Drag & Drop Files, Choose Files to Upload Full body photo and must be wearing a cycling jersey.Upload Your Team Jersey Design * Drag & Drop Files, Choose Files to Upload Please download the guidelines from the previous page.NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit
