Team ALS 2023 TD Five Boro Bike Tour Application

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Thank you for your interest in participating in The 2023 TD Five Boro Bike Tour with Team ALS! Please complete the form below. Once submitted, your application will be reviewed and you will be contacted shortly after. For more information about the ALS Association Greater New York Chapter, visit: https://als-ny.org/

First Name *

Last Name *

Email *

Phone Number *

Which statement is the most true for you? *

I wish to participate in honor of someone living with ALS.

I wish to participate in memory of someone who had ALS.

I wish to participate in the general support of the fight for a cure.

Other:

If you are riding in honor or in memory of someone, we invite you to share their name and your relationship to them (Ex: Jane Smith, Grandmother).

Have you participated in a cycling event in the past? *

Why do you wish to ride with Team ALS? *

Team ALS athletes are required to reach a $1,000 fundraising goal for participating in this race. How do you plan to meet this goal (Chapter staff are here to help in any way that we can. All participants will be provided with a personal online fundraising page)? *

How did you hear about Team ALS? *

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