KZN Colours Application Form

Application for KZN Cycling Colours
2014
Juniors - Vets
Name
Surname
CSA Lic Number
CSA Race Category
Club
PLEASE REMEMBER YOU NEED 10 POINTS TO QUALIFY FOR COLOURS
Race/Event
KZN Time Trial Champs (18/01/2014)
KZN Road Champs (19/01/2014)
SA Time Trial Champs (4 to 9 February 2014))
SA Road Champs (4 to 9 February 2014 )
Newcastle Waterside Race (16/02/2014)
Burg Wheelers (23/02/2014)
Tour of Durban (27/04/2014
Toti 69er (13/07/2014)
Amashova (12/10/2014)
KZN Series (2014) must ride 3 out of the 4 events to qualify
Msunduzi Cycle Race (Date:- TBA)
Ladysmith Cycle Race (07/09/2014)
1st
3
3
10
10
3
3
3
3
3
Cancelled
Cancelled
3
2nd
2
2
10
10
2
2
2
2
2
Cancelled
Cancelled
2
TOTAL POINTS
Being selected for KZN Team and attending
Being selected for a National Team and attending
1
10
Grand Total
Signature
Signature of Club Captain
For Office Use
Approved:___________________________________
Declined:___________________________
Signature Road Commissioner: ________________________________________
3rd
1
1
10
10
1
1
1
1
1
Cancelled
Cancelled
1
Application for KZN Cycling Colours
2014
U 10 to U 16
Name
Surname
CSA Lic Number
CSA Race Category
Club
PLEASE REMEMBER YOU NEED 10 POINTS TO QUALIFY FOR COLOURS
Race/Event
KZN Time Trial Champs (18/01/2014)
KZN Road Champs (18 +19/01/2014)
SA Time Trial Champs (4 to 9 February 2014)
SA Road Champs (4 to 9 February 2014)
Waterside New Castle (16/02/2014)
Burg Wheelers (23/02/2014)
Tour of Durban (28/04/2014)
KZN Series 2014 (must ride 3 out of 4 events to qualify)
Toti 69er (13/07/2014)
Ladysmith Cycle Challenge (07/09/2014)
Amashova (12/10/2014) Only under 16.
Msundusi Cycle Race (Only under 16)
1st
3
3
10
10
3
3
3
Cancelled
3
3
3
Cancelled
2nd
2
2
10
10
2
2
2
Cancelled
2
2
2
Cancelled
TOTAL POINTS
Being selected for KZN Team and attending
Being selected for a National Team and attending
1
10
Grand Total
Signature
Signature of Club Captain
For Office Use
Approved:___________________________________
Declined:___________________________
Signature Road Commissioner: ________________________________________
3rd
1
1
10
10
1
1
1
Cancelled
1
1
1
Cancelled

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