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Old 02-19-18, 10:54 PM
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I've ridden a number of different granfondi over the years. All I needed to show was my membership card from my local (recreational) US cycling club. They infer that if you belong to a cycling club, you're fit enough to participate, and they really have no way of checking. You could always make up a convincing looking "membership card" if you don't have one.

The French, on the other hand, are very strict about having medical documentation for participants in cyclosportives. I had to have an office interview with a medical doctor and get his signature on the appropriate forms and present them at registration.
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