Ride for a Child Team Application

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Thank you for your interest in the 2022 Ride for a Child program. Please fill out the questionnaire below. After submitting the questionnaire you should receive an email from darby@pedalthecause.org with more information and next steps.

Requirements
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 on September 17 at the Chesterfield Mall
-Attendance at PTC weekend festivities (September 23-25, 2022) at the Chesterfield Amphitheater

Name *

Phone *

Email *

What is your team name? *

What is your team captain name? *

What is your team type? *

Friends & Family

Corporate Challenge

Hospital or Hospital Affiliate

Have you participated in the Ride for a Child Program before? *

Yes

If yes, how many years have you participated?

Briefly describe why your team would like to participate in the 2022 Ride for a Child program. *

My team is committed to fulfilling the requirements listed above. Please sign below. *

Submit

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