Bicycle Buddies Sign-Up 2019
Our Bicycle Buddies program pairs a 2019 rider with an individual who has fought or is currently fighting cancer, or anyone who has been affected by a friend or family member’s battle. As soon as Buddies are paired, they will begin communicating via their preferred means (letters, emails, pictures, phone calls, etc.). The correspondence will continue after the team’s departure in June, and we intend to offer opportunities for riders and buddies to meet up in person during the summer ride.
 
Through participation in the program, we aim for buddies to build friendships, share stories, and inspire each other in the fight against cancer. By pairing up with a rider, we hope that each Bicycle Buddy back home will understand how powerful and meaningful their fight is.

If you or anyone you know is interested in being a part of this program, please fill out this form and we will get in contact with you. Don't hesitate to reach out to our Bicycle Buddies coordinator at t4k.outreach@gmail.com.

Sign in to Google to save your progress. Learn more
What is your full name? *
What is your date of birth? *
What is your gender? *
If you are under 18 years of age, what is the name of your parent or guardian?
What is your full home address? (ex: 9999 Franklin Blvd, Austin, TX, 78751) *
What email address can we contact you at?
What phone number can we contact you at?
How did you hear about Texas 4000's Bicycle Buddies? *
What is your preferred method of communication with your Bicycle Buddy? *
How often would you want to communicate with your buddy?
Clear selection
If you are in Austin or our routes go through your town, would you be interested in meeting up with your buddy?
Clear selection
Please tell us just a little bit about yourself and your interests.
Do you have any special buddy requests? (ex: a specific rider you already know, a specific gender, etc. )
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy