Andean Health Cycling Team (AHCT) Sign Up: 2023 North Carolina
Please fill out the form below. YOU WILL NEED TO REGISTER SEPARATELY WITH TREK to secure your place for the North Carolina trip. Please see andeanhealthcycling.org for more info on how to sign up with Trek.
Sign in to Google to save your progress. Learn more
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
Clear selection
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."
Clear selection
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!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy