Andean Health Cycling Team Sign Up: 2022 Natchez Trace Parkway, Oct. 2-8

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Please fill out the form below. YOU WILL NEED TO REGISTER SEPARATELY WITH LIZARD HEAD to secure your place for the Natchez Trace trip. Please see andeanheathcycling.org for more info on how to sign up with Lizard Head.

Name of Rider (Each rider should please sign up individually) *

Email Address *

I commit to help raise funds to help meet the 2022 AHCT goal of $400,000, help raise awareness of AHD's mission, or make a contribution. *

Yes, and please send me the magnificent custom jersey!

Yes, but I do not need a jersey.

Maybe next time. I just want to ride this time.

What is your jersey size? This is the same brand as last year. A size chart and fit guide are available on the following website. Please see both tabs on the page: https://www.primalwear.com/pages/size-chart You will have to copy and paste the link to view it.

Women's XS Standard Fit (Sport Cut)

Women's XS Slim Fit (Race Cut)

Women's Small Standard Fit (Sport Cut)

Women's Small Slim Fit (Race Cut)

Women's Med Standard Fit (Sport Cut)

Women's Med Slim Fit (Race Cut)

Women's Large Standard Fit (Sport Cut)

Women's Large Slim Fit (Race Cut)

Women's XL Standard Fit (Sport Cut)

Women's XL Slim Fit (Race Cut)

Women's XXL Standard Fit (Sport Cut)

Women's XXL Slim Fit (Race Cut)

Men's XS Slim Fit (Race Cut)

Men's XS Standard Fit (Sport Cut)

Men's Small Slim Fit (Race Cut)

Men's Small Standard Fit (Sport Cut)

Men's Med Slim Fit (Race Cut)

Men's Med Standard Fit (Sport Cut)

Men's Large Slim Fit (Race Cut)

Men's Large Standard Fit (Sport Cut)

Men's XL Slim Fit (Race Cut)

Men's XL Standard Fit (Sport Cut)

Men's XXL Standard Fit (Sport Cut)

Men's XXXL Standard Fit (Sport Cut)

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Address to Send Jersey

I'm planning on attending the... *

3-day tour

7-day tour

Are you on a team? Please choose a team below, select "Riding as an individual," OR add a new team name under "Other."

Riding as an individual

Team Acker

Team Brewcyclists

Team Brownie

Team Cheddar Chispas

Team Coast2Coast

Team Condor

Team Dillon

Doon’s Platoon

Look Ma No Hands (Jim Dunn)

Equipo de Ciclismo de Pedro

Team Kalamari

Team Privateers

Team Rehobeth

Team Rapida Runger

Team Ryan

Team Slainte

Team Smokin’ Hots (Rachel's Team)

Team Tortuga (Heisler's Team)

Team Trolley Folly (Supreme Commander's Team)

Other:

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We will send you more info about how to fundraise and support our work in Ecuador soon. Thank you for supporting quality, sustainable health care for rural Latin America!

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