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2016 Olympic Omnium Entry Form

Entries for the Women’s and Men’s Olympic Omnium are now open. Please fill in the entry form below if you wish to take part, entries close at midnight on Sunday the 12th June 2016 and no entries will be accepted after that date.

(Please note, fields marked with a * are required)

Your Name *
Club / Team *:

UCI code *:
License No*:
Your Email *
Nationality *:
I would like to enter the following Events:-

 Senior Women Senior Men


To assist us in doing the initial 'seedings' and to verify eligibility for the event we need to know your certified 'Personal Best' times. The information you provide should be verifiable by a recognised authority:-

Personal Best 200 metres: Personal Best 250m Personal Best 500m Personal Best Kilo: