Ride The Trail.
Discover Your Path.
Get Into Geerz.

Step 1 of 2: Participant Registration

To begin, please first enter your email:

Welcome Back, !
To continue, please click on the link we just emailed you.You have already signed up for this event! To continue, please login. We have emailed you your login credentials in case you need them.

After you complete and submit this screen, there is a second screen, where you will enter your registration details for this campaign.
* Required field

The Get Into Geerz Two-Day Ride 2023

Personal Information

*Email
*Mobile Phone
*First Name
Married couples: put in both first names, e.g. Yossi and Shira
*Last Name
*Gender
*Date of Birth
1. Select day. 2. Select month. 3. Type 4-digit year.
Fax
Website

Contact Information

Home Phone
*Mailing Address
Please be sure to use the address which appears on your credit card.
*City
*State/Province
If not applicable, select the "non-USA/Canada" option.
*Country
Zip/Postal Code
*Emergency Contact Person
*Relationship to Participant
*Emergency Contact Phone
Emergency Contact Email
*Second Emergency Contact Name (if 1st unavailable)
*Second Emergency Contact Relation
*Second Emergency Contact Cellphone
Second Emergency Contact Email

Registration Information

*Currency
Choose the currency in which you wish amounts to be displayed to you on our website. Your donors may donate in either currency.
 
*Password
Create a password to access your individualized fundraising pages.
*Confirm Password
*Short Sleeve Cycling Jersey Size (Standard American Size T-shirt)
Determine your jersey size here
How did you hear about us?
Specify
*I give permission to be photographed or videoed for Geerz.
Please indicate any allergies our staff should be aware of.
Please indicate any pre-existing medical conditions our staff should be aware of.
*What is your Israeli Medical Insurance (Kupat Cholim)?
If you chose N/A above, what is your traveler's insurance information? (Name & Policy Number)
Please indicate any dietary requirements our staff should be aware of.
*I require Mehadrin Kashrut
General Comments / Questions