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Fill out this form to register. When you're done, go to "Login" and create your own web page!
Registration Information
First Name: *
Last Name: *
Address: *
City: *
State: *
Zip / Postal: *
Country: *
Cell Number: *
Email Address: *
Date of Birth: *
Jersey Size: *
Jersey Size Guide
Emergency Contact Information
Emergency Contact: *
Emergency Phone: *
Fundraising Commitment

Start your campaign and be the first to donate (optional)
Account Information
Custom URL:* Create your custom url to use for your personal fundraising page (This will also be your account username)
Sign in with Google or choose a password. You will need it to view / edit your personal web page, and see who has sponsored you for this event.
Sign in with Google
Password: *
Re-Type Password: *
Additional Information
Have you previously ridden in a group event? *
In addition to riding are you interested in a sponsorship opportunity? *
Additional Comments:
Waiver and Release

I accept the above waiver and release

Only enter this field if you were told to do so by a staff member.

The 100 Ride is a non-profit 501c3 organization.