Bike Against Hunger July 20, 2025 Rider Registration Form

Please fill out this form and click submit.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Payment

Individual (10) Family ($25) Will pay to my congregation. ($0)

Amount

Which church are your affiliated with?

Please select all that apply.

Bethlehem, Brainerd First, Brainerd Lord of Life, Baxter Lutheran Church of the Cross, Nisswa Our Savior's Pequot Trinity, Brainerd Other. Please list in next box.

Other Church Name.

Rider Names: Please list all riders here. (Including children who may be in a bike carrier.)

*

You may do as much or as little as you like of the trail. But what would be your anticipated goal?

*

Please select one option.

Nisswa to Merrifield & Back Nisswa to Brainerd & Back Our children will dictate this. I'll be doing one way and arrange my own transportation.

Do you want the provided lunch or a sub sandwich and compliments provided before the ride?

*

Please select all that apply.

YES NO Option

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

Please Fix the Following

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