Team LCRF – Five Boro Bike Tour

Cycle the Five Boro Bike Tour with Team LCRF!

Thank you for your interest in fundraising for LCRF through cycling in the Five Boro Bike Tour as part of Team LCRF on Sunday, May 7, 2023. We’d like to learn a little more about you. Please complete this form, and our events team will be in touch. If you have any questions, please contact Emma Nestler at enestler@LCRF.org.

Name *
Email *
Address *
City/State/Zip *		state AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AS FM GU MH MP PR PW VI AA AE AP AB BC MB NB NL NS NT NU ON PE QC SK YT None
Phone *
What is your connection to lung cancer? *
Please select response I’ve received a lung cancer diagnosis. I’m a caregiver. I know someone with lung cancer. I’ve lost someone close to lung cancer. I’m a healthcare provider. I’m a researcher. I support lung cancer research.
Have you previously supported LCRF? If so, how? *
(Maximum response 255 chars, approx. 5 rows of text)
Why do you want to bike with Team LCRF? *
(Maximum response 255 chars, approx. 5 rows of text)
What is your personal fundraising goal? ($1,000 minimum) *
Please select response $1,000 $1,500 $2,000 $2,500 $3,000+ $3,500 $4,000 $4,500 $5,000+
Briefly describe your plan to achieve your personal fundraising goal. *
(Maximum response 255 chars, approx. 5 rows of text)
Have you previously fundraised for a charitable organization, and if so, what were you able to raise? *
(Maximum response 255 chars, approx. 5 rows of text)
* ALL fields are required Please Note: Each participant is also responsible for their race registration fee.