TeamOrphansBiking forBrittanyRegistration As a member of Team Orphans, help raise funds for Brittany’s Hope. All funds raised through this registration will be earmarked for Team Orphans adoption grant fundraising. Step 1 of 3 33% HiddenPrefill Participant 1Name Participant 1* First Last Email* Phone*Participant 1's Date of Birth* MM slash DD slash YYYY Choose Participant 1's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 1's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and receive a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 1's Virtual Race Option Virtual Race- $25 Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Does Participant 1 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Participant 1's Team Name Participant 1's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 1 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Additional ParticipantsHow many additional participants would you like to register?*None12345678910Participant 2Name of Participant 2 First Last Participant 2's Date of Birth MM slash DD slash YYYY Choose Participant 2's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 2's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and receive a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 2's Virtual Race Option Virtual Race - $25 Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Does Participant 2 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Participant 2's Team Name Participant 2's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 2 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Participant 3Name of Participant 3 First Last Participant 3's Date of Birth MM slash DD slash YYYY Choose Participant 3's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 3's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and receive a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 3's Virtual Race Option Virtual Race - $25 Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Does Participant 3 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Participant 3's Team Name Participant 3's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 3 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Participant 4Name of Participant 4 First Last Participant 4's Date of Birth MM slash DD slash YYYY Choose Participant 4's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 4's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and recieve a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 4's Virtual Race Option Virtual Race - $25 Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Does Participant 4 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Participant 4's Team Name Participant 4's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 4 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Participant 5Name of Participant 5 First Last Participant 5's Date of Birth MM slash DD slash YYYY Choose Participant 5's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 5's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and recieve a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 5's Virtual Race Option Virtual Race - $25 Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Does Participant 5 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Participant 5's Team Name Participant 5's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 5 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Participant 6Name of Participant 6 First Last Participant 6's Date of Birth MM slash DD slash YYYY Choose Participant 6's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 6's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and recieve a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 6's Virtual Race Option Virtual Race - $25 Does Participant 6 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Participant 6's Team Name Participant 6's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 6 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Participant 7Name of Participant 7 First Last Participant 7's Date of Birth MM slash DD slash YYYY Choose Participant 7's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 7's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and recieve a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 7's Virtual Race Option Virtual Race - $25 Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Does Participant 7 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Participant 7's Team Name Participant 7's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 7 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Participant 8Name of Participant 8 First Last Participant 8's Date of Birth MM slash DD slash YYYY Choose Participant 8's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 8's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and recieve a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 8's Virtual Race Option Virtual Race - $25 Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Does Participant 8 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Participant 8's Team Name Participant 8's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 8 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Participant 9Name of Participant 9 First Last Participant 9's Date of Birth MM slash DD slash YYYY Choose Participant 9's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 9's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and recieve a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 9's Virtual Race Option Virtual Race - $25 Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Does Participant 9 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Participant 9's Team Name Participant 9's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 9 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Participant 10Name of Participant 10 First Last Participant 10's Date of Birth MM slash DD slash YYYY Choose Participant 10's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 10's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and recieve a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 10's Virtual Race Option Virtual Race - $25 Does Participant 10 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Participant 10's Team Name Participant 10's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 10 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Participant 11Name of Participant 11 First Last Participant 11's Date of Birth MM slash DD slash YYYY Choose Participant 11's Sign Up Option Join for FREEMust meet a fundraising commitment Pay for Virtual Race Now Choose Participant 11's Fundraising Race Option Virtual Race ChampionFundraising commitment of $40 and recieve a shirt and swag bag Virtual Race WarriorFundraising commitment of $150 and receive performance 3/4 zip pullover, and swag bag Choose Participant 11's Virtual Race Option Virtual Race - $25 Enter Raffle for Free Registration to Next Years Ride 1 Entry To Raffle- $2 Does Participant 11 Want to Join a Team?Click on the dropdown to choose your teamOther (Please Specify Below)Participant 11's Team Name Participant 11's shirt size*Adult MediumAdult LargeAdult X LargeParticipant 11 Would Like to Opt-Out of a Swag Bag? I Don't Need Any Swag I Only Want a Shirt I Only Want a Shirt and Pullover Number Billing & Shipping InformationName*As it appears on your card. First Last Phone*Email*To receive your receipt Join Our Email List Yes for Brittany's Hope Yes for Biking for Brittany No thank you Go Above & Beyond Discount Code Today's Total $0.00 Billing Address* 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 SaharaYemenZambiaZimbabweÃ…land Islands Country Different Shipping Address? My Shipping Address is Different than My Billing Address Shipping Address 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 SaharaYemenZambiaZimbabweÃ…land Islands Country Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name CAPTCHANameThis field is for validation purposes and should be left unchanged. 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