Rider Registration – Single Page Click here to edit your existing record. Email* First Name* Last Name* Address* City* State* Zip Code* Mobile Phone* Cell number carried during the event (Format 999-999-0000) Date of Birth* Example 01-01-2000 Gender Female Male Non-binary/ third gender Prefer to self-describe Prefer not to say Medical Conditions Emergency Contact* Relation Day Phone* Emergency Contact Day Phone (Format 999-999-0000) Eve Phone* Emergency Contact Eve Phone (Format 999-999-0000) Dietary Needs Interest in Pilgrimage Provide a short description about what interests you in this Pilgrimage. Vehicle Offered? Saturday Sunday Is your vehicle available for rider support? Vehicle Description If you're volunteering your car. Please provide make/model and type of bike rack (if applicable). Days riding Saturday Sunday other: I'm signing up for these days. If only one day, what will you be doing the other day? Route Marking Volunteer Option: Help mark the route 2 days before the pilgrimage. Riding experience This is my first long ride I ride occasionally I ride regularly on weekends I am an experienced rider I am a pro athlete other: Miles ridden 0-20 21-40 41-60 61-80 81-100 100+ Most number of miles ridden in one day Shuttle Needs* I NEED A RIDE BACK TO THE START Nope. I'm good. I won't ride the shuttle The shuttle is a charter bus from the pilgrimage destination back to the start (where vehicles are parked). There is a fee. If you check this box, the Transportation coordinator will contact you with details. Waiver* I have read and agree to the Waiver of Liability pdf captcha* Click here to edit your existing record.