Register

Wheels of Love: USA Hudson Valley will take place on Sunday, July 30, 2023.
All riders must register in advance.

The registration fee is $100. In addition, every rider must raise $400 for the children of ALYN. After registration we will send you a personal fundraising page which you can customize and then send to friends and family to collect online sponsorships. You may choose to donate all or part of this requirement yourself.

Join a team

Registration Information

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip / Postal: *

Country: *

Phone Number: *

Additional Phone Number:

Email Address: *

Date of Birth: *

Jersey Size: *

Choose your route: *

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.

Gender *

Male Female

Emergency Contact Information

Emergency Contact: *

Emergency Phone: *

Fundraising Commitment

$400 I understand that by participating in the Wheels of Love, I am committing to raise a minimum of $400. If for any reason I am unable to meet the required minimum of $400 by September 15th, 2023, the difference will be charged to my credit card on file.

Account Information

Custom URL:* Create your custom url to use for your personal fundraising page (This will also be your account username)

https://www.rayze.it/wheelsoflove/

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.

Password: *

Re-Type Password: *

Payment Details

You will be charged a $100 non-refundable registration fee.

Card Type: *

Card Number: *

Exp. Month: *

Exp. Year: *

Security Code: *

Additional Information optional

Additional Comments:

How Did You Hear About Us?

I have checked the box that I am physically fit, but I want ALYN to know that I have the following medical conditions and take the following prescription medications:

Medical Condition/ Medications: