ELITE TEAM APPLICATION – LANDIS OFF ROAD

Your Name

First^*

Last^*

Email^* Phone number

Your Address

Street address Address Line 2

City

ZIP Code

State

Country

Riding Experience^* Racing Experience (include top results)^* Goals for the 2026 and 2027 Seasons^* Why LANDIS CYCLERY ENVE OFF ROAD RACING?^* Share your social media profiles and engagement numbers.^* Sponsor History (if applicable, please disclose any current obligations or conflicts)^* Anything else you’d like us to know?^* Message^*

Fields marked with * are required.