Register Today YES! I want to register for the RIDE4ZION bike ride! Next year in Jerusalem! Register for the first-ever Christian bike ride across Israel! Thank you for joining us on the ride! We look forward to riding with you next year on the ride! Please fill out the registration form below. Name*(as it appears on your passport) Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last This field is hidden when viewing the formRider name as it will appear on your donation form Nickname(if applicable)Is this Rider part of a team* No Yes Has your team member already set up your team?* Yes No This field is hidden when viewing the formTeam Name MetaWhat's your team name going to be?*What's the teams name?*Select a Team-- select a Team --Example Team 1Example Team 2Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Passport #*Birth Date* MM slash DD slash YYYY Country Issued*Date Issued* MM slash DD slash YYYY Expiration Date* MM slash DD slash YYYY Size of Jersey*Size of T-shirt*Emergency Contact Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Relationship*Cell Phone*Church Affiliation*Address* City State / Province / Region Rider Registration Fee* Price: To help cover transaction fees, please add $30 to your donation.* Registration Fee Registration Fee w/ Online Transaction Fees Registering affirms that you are able to ride 35 to 50 miles a day (with refreshment stops) for 4 days. You agree to provide a medical release from your primary care physician as well as a waiver of release. You agree to provide your own transportation to and from the event and to either bring your own bike or rent one there. The Ride will provide room, board, mechanical support, security, medical support, and pitstops from the start of the ride on Sunday September 18th, 2022 at 8:00am thru Thursday September 22nd, 2022 at 4:00pm. Additionally, you agree to raise a minimum of 5,500.00 (1,000.00 registration and 4,500.00 additional funds) to help fulfill our charity's mission.Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name This field is hidden when viewing the formThis is a RiderThis field is hidden when viewing the formEnable GoalThis field is hidden when viewing the formGoal AmountThis field is hidden when viewing the formEnable Custom AmountThis field is hidden when viewing the formMinimum Custom AmountThis field is hidden when viewing the formPrice OptionThis field is hidden when viewing the formMinimum AmountThis field is hidden when viewing the formMaximum AmountThis field is hidden when viewing the formLevel info