2019 ALYN Wheels of Love: Israel Charity Bike Event

Wheels of Love 2019

Register by July 15 and save $200! Until July 15, the registration fee is $950 (3,430 ILS.)
Price increase after July 15 to $1,150 (4,150 ILS).
If you preregistered, please use this form instead.

Questions? Email us at specialprojects@alyn.org. THANK YOU.

basic info

riding preferences

Fundraising

secure pay

Please tell us about yourself

X*First Name (English)

X*Last Name (English)

XFirst Name (Hebrew)

XLast Name (Hebrew)

X*Phone

X*Language Preference

X*E-mail

X*Date of Birth

X*Gender

MaleFemale

XPassport Number (for non-Israelis)

XID Number (Teudat Zehut for Israelis)

X*Address line 1

XAddress line 2

X*City

XState

X*Country

X*Postal Code

X*By checking this box, you acknowledge being added to our mailing list for important ride updates.

Please tell us your preferences for the ride

X*Route

XSpecial Diet (All meals Kosher Israeli Rabbinut.)

X*Jersey Size (Measure around the upper part of chest)

X*Emergency Contact Name

X*Emergency Contact Mobile Phone

X*Emergency Contact Relationship (Spouse, Parent, etc)

Included in registration is a space in a triple hotel room. For a charge, you can upgrade to a double or a single room.
If you would like to stay in the hotel Saturday night, you can choose that option below. We provide transportation to the start Sunday morning.

XHotel Saturday Night

XHotel Upgrade (4 nights)

XRoomate Preference #1

XRoomate Preference #2

XI am not bringing my own bike and will need to rent one

You need to approve the previous step to continue

FUNDRAISING

To help you fundraise, we will create a personal fundraiser page for you. Would you like to add a personal message? (250 character maximum)

XAdd Your Personal Message

The majority of participants raise more than the minimum. What is your goal?

X*Personal Fundraising Goal (USD). If you want to raise more than the required minimum, tell us your goal and we will put it on your donation page.

The minimum fundraising requirements are: $3,000 Off-Road/Enduro, $3,500 On-Road/Touring, $4,000 Challenge, $750 Volunteers.

X*I agree to meet the fundraising requirements ($3,000 Trail, $3,500 Road, Road Plus, Touring hiking, $4,000 Challenge.) If I have not met the requirements by ride check-in, I will give a credit card number as a security deposit. If I do not meet the requirements by December 31, 2019, my credit card will be charged to cover the balance.

AGREEMENTS AND CERTIFICATIONS

X*I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity.

I have checked the above declaration, but I want ALYN to know that I have the following medical conditions and take the following prescription medications:

XMedications

XMedical condition

X*I have read and agree to the Terms and Conditions of the ALYN Wheels of Love ride

Terms and Conditions Parental Consent for Minors

You need to approve the previous step to continue

Currency

Registration Fee: 950

Total Payment: 950

Approve and Pay

To pay in a different currency, please email us at specialprojects@alyn.org

Thank you for your registration.

Thank you for registering for ALYN Wheels of Love 2019. Your registration has been received and will be processed. Since you selected the call-in payment option, please call one of the following numbers and make your payment within one week to confirm your registration:

US and Canada: 1-212-869-8085

UK: 0330-828-0808

Israel: 02-649-4235 or 02-649-4216