Andean Health Cycling Team (AHCT) Sign Up: 2024 Vermont
Please fill out the form below. YOU WILL NEED TO REGISTER SEPARATELY WITH TREK to secure your place for the Vermont trip. Please see andeanhealthcycling.org for more info on how to sign up with Trek.

Fill out this form by April 24 to receive the custom 2024 Andean Health jersey. No orders accepted after that date. Thank you!    (Sorry, the deadline has passed for jersey orders. No more orders please.)
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Name of Rider (Each rider should please sign up individually) *
Email Address *
I commit to help raise funds, help raise awareness of AHD's mission, or make a contribution. *
What is your jersey size? The jersey brand is Giordana, which runs small so we recommend you size up. Sizing specifics are available here: http://andeanhealthcycling.org/wp-content/uploads/2023/06/giordanaJerseySizing.pdf
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Address to Send Jersey
I'm planning on attending the... *
Are you on a team? Please choose a team below, select "Riding as an individual," OR add a new team name under "Other."
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We will send you more info about how to fundraise and support our work in Ecuador soon. Thank you so much for riding and for supporting quality, sustainable health care for rural Latin America!
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