2010 Furnace Creek 508 Sample Application

You will need the information on this sample form for EACH member of your team. Please note that this is not the entire application; this page shows ONLY the information needed for each rider on your team.

Back to Furnace Creek 508 Entry Information
Current or Requested Totem:
Race Category:
Solo   2 Rider Men's Team   2 Rider Mixed Team   4 Rider Women's Team   4 Rider Tandem
Solo Tandem   2 Rider Women's Team   4 Rider Men's Team   4 Rider Mixed Team   8 Rider Tandem
Type of Bicycle:
Standard   Fixed Gear   HPV / Recumbent   Classic Rendezvous   Tandem
What is your age group? For relay teams, average the age each teammate will become in 2008:
10-19   20-29   30-39   40-49   50-59   60-60   70+
 
First Name:
Last Name:
*Street
*Mailing address. No PO boxes!
City: State/Province:
Zip/Postal Code: Country:
Nationality (passport): Occupation:
Phone: Email:
Gender:
Male Female
Birthdate: (MM/DD/YYYY)
Highest age you
will attain in 2010:		 Shoe Size:
Your T-Shirt Size:
Small Medium Large X-Large XX-Large
Your Jersey Size:
(Hincapie "Race Cut" jersey,
click here for sizing)
mens: X-Small Small Medium Large X-Large XXL XXXL
womens: X-Small Small Medium Large X-Large
PLEASE be careful to select the correct jersey size. The size you select here will be the jersey size you receive at the finish line (if you finish).
If you have a relevant blog or website about your athletic career, provide the link here:
Do you speak English?
Yes No
Will at least one member of your support crew speak English?
Yes No
 
List all Furnace Creek 508 appearances you've had as a rider, crew person, or Race Staff in chronological order. Rider information should include year, totem, division, and result (please include DNFs). Crew information should include year, totem and division for the rider(s) you supported. Race Staff information should include year and role.
List all relevant ultra cycling, and ultra sports, experience you have which makes you an ideal candidate for a safe and successful finish at Furnace Creek 508 this year. In chronological order, list year, event, result, etc. Please be brief and use bullet points, not an essay style.
In 200 words or less, add anything else you think is relevant or that you think we should know.
Will your participation in this event benefit any charity? The official charities of Furnace Creek 508 are the Challenged Athletes Foundation, Major Taylor Asscoiation, and Death Valley Natural History Association and we encourage you raise funds for one of them. However, you may choose to dedicate your efforts to any charity. If you choose to do so, for which charity will you race? Tell us their website, what they do, why you will race for them, and more.