Ride for a Child Team Application
Thank you for your interest in the 2019 Ride for a Child program. Please fill out the questionnaire below. After submitting the questionnaire you should receive an email from colleen@pedalthecause.org with more information and next steps.

Ride for a Child is a special program to honor children who are actively going through treatment for cancer at Siteman Kids at St. Louis Children’s Hospital. In order to provide our children with the best experience, we have a few requirements for teams wishing to participate:

-A team of 10 or more members
-A suggested team fundraising goal of $10,000+
-Attendance (Team Captain & at least 4 other team members, though we strongly urge you to use all 10 of your allotted tickets) at the Ride for a Child Celebration at Epic 6 on July 14, 2019
-Attendance at PTC weekend festivities (September 28-29, 2019) at the Chesterfield Amphitheater

Name *
Your answer
Phone *
Your answer
Email *
Your answer
What is your team name? *
Your answer
What is your team captain name? *
Your answer
What is your team type? *
Have you participated in the Ride for a Child Program before? *
If yes, how many years have you participated?
Your answer
Briefly describe why your team would like to participate in the 2019 Ride for a Child program. *
Your answer
My team is committed to fulfilling the requirements listed above. Please sign below. *
Your answer
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