UMCA Mileage Challenge
UMC Century and Standard Divisions
Single Event Form
| Rider | |
|---|---|
| Name _____________________________ | Address ______________________ |
| City _______________________________ | State ______ Zip _______________ |
| Phone _____________________________ | EMail ________________________ |
| Event | |
| Name of Event ______________________ | Date of Event ___________ |
| ___ Century: 90 - 150 miles; cyclist must complete entire ride. | |
| ___ Standard: 151 or more miles; cyclist must complete at least 151 miles. | |
| Miles Published ________ | Miles Ridden ________ | Event Official |
| Official's Name ______________________ | |
| Official's Signature ___________________ | Date _________________ |
Event Official: Please sign above to validate this cyclist's ride. Thank you!
Rider: (1) Have an event offical who can validate your ride sign this form.
(2) Send this form with event documentation to
John Lee Ellis, 2155 Dogwood Circle, Louisville, CO 80027.
Event Documentation can be an event flyer or announcement for the ride,
including mileage, or map, or cue sheet for the ride.