2019 ISDE REGISTRATION

If you have any questions about this form please contact Michael Jolly at: 740-418-7007 Or email Michael at mjolly@ama-cycle.org

Personal Information for Travel (As it appears on your passport)

First Name *

Last Name *

Passport Number *

Passport Country *

Drivers License Number *

Passport expiration date must be at least 90 days

after scheduled return from trip.

Passport Expiration Date

Month *

Day *

Year *

Contact Information

Country *

Street Address *

City *

State *

Zip Code *

Mobile Phone Number *

Email Address *

Confirm Email Address *

Emergency Contact Information

Name *

Phone Number *

Relationship *

Hotel Request

Do you want to make a hotel rooming request? *

Yes

No

The 2019 accommodations will be at:

Algarve Race Resort

Sítio do Escampadinho, Mexilhoeira Grande, 8500-148 Portimão, Portugal

http://www.algarveraceresort.com/algarve-race-resort

The resort is an approximate 5 minute drive from the paddock.

The closest airport is Lisbon, approximately 295 kilometers away.

We have two types of accommodations available at the resort:

1. Hotel Room

-single or double occupancy

-dinner buffet and team meetings will be at hotel (apartments are in walking distance)

2. Apartment*

-2 bedrooms with a common area, small kitchenette

-triple or quadruple occupancy

*apartments are subject to availability, limited quantity

You MUST select a package and fill in all information below!

Full Tour Package 11/4/19-11/17/19 *

Single Occupancy (Hotel) $1635 per person

Double Occupancy (Hotel) $1085 per person

Triple Occupancy (Apartment) $1433 per person

Quadruple Occupancy (Apartment) $1166 per person

None, select Race Week Package

Race Week Package 11/9/19-11/17/19 *

Single Occupancy (Hotel) $1147 per person

Double Occupancy (Hotel) $809 per person

None, select Full Tour Package

Roommate Name: (Please list roommates full name) *

Add-On Dinner Package *

None

Add-on Dinner package (12 meals) $403 per person

Add-on Dinner package (7 meals) $217 per person

**Dinner will not be served on 11/16/19 due to final moto and loading the container

Current Total:

$0.00

Do you require any additional/less nights stay? *

yes

no

Please indicate the number of additional/less nights needed and the requested dates. Additional nights are subject to availability. Please select the most relevant package for your stay, the AMA will issue a daily rate refund for less nights or will issue an invoice for additional nights once availability is confirmed. *

Wheelchair Accessible: *

No

Yes

Rider Information

Are you a rider on the AMA U.S. Team? *

Yes

No

Do you plan on renting or shipping a bike? *

Bike Manufacturer *

Bike Model: *

Bike displacement: *

Bike Year: *

Stroke: *

ISDE Class *

Number of years of participation at ISDE: *

Last year of participation: *

Birth date (MM/DD/YYYY) *

Who is (are) your rider support person(s):

Support Name 1 (required) *

Support Person email: *

Support Name 2:

Support Person email:

Please provide sizes for the below:

Jersey Size *

T-Shirt Size *

Sweatshirt Size *

Volunteer/Support Information

Would you like to volunteer to support the ISDE team efforts? *

Yes

No

Thank you for your interest in supporting the USA ISDE Team!

Please answer the following questions, it will help us with staffing the event.

Which rider are you supporting? *if none, please indicate Team USA *

Check all areas of interest: *

Check Captain (full 6 days)

Special Test Captain (full 6 days)

Kitchen Captain (full 6 days)

Service/gas check help (indicate days below)

Special Test help (indicate days below)

Kitchen help (indicate days below)

Indicate which days you are available to help: *

T-Shirt Size *

Sweatshirt Size *

Special Instructions

Additional Comments

Please use the space below for additional comments or questions you may have;