Elite Program Application

Elite Program Application

Please complete the form below to apply for the Trans-Pecos Ultra Elite Program. Meeting eligibility criteria does NOT guarantee race entry. The organizers will limit the number of entries in this category based on general classification demand.
Full Name*

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Cell Number*

Country CodeArea CodePhone Number
Gender*
Date of Birth*

MonthDayYear
Primary Citizenship if not the U.S.
Agent Name

First NameLast Name
Agent Phone

Area CodePhone Number
Agent Email
example@example.com
Have you ever been convicted of an Doping Violation?**
Reminder: Qualifying times/races entered below must be within the last two years
Which discounted program are you applying for?
Qualifying Time #1 - Race Name*
Qualifying Time #1 - Date (within last 2 years)*
Qualifying Time #1 - Online Link to Race Results*
Qualifying Time #2 - Race Name*
Qualifying Time #2 - Date (within last 2 years)*
Qualifying Time #2 - Online Link to Race Results*
Qualifying Time #3 - Race Name*
Qualifying Time #3 - Date (within last 2 years)*
Qualifying Time #3 - Online Link to Race Results*
Social Media Links (InstaGram, Twitter, Other)
Should be Empty: