Thank you for your interest in participating in the 2023 TD FIVE BORO BIKE TOUR as a Partner for Hope to benefit Partnership to End Addiction on Sunday, May 7, 2023.   Please complete the following survey:

Question Title

* Contact Information

Question Title

* Are you 18 or older?

Question Title

* If you were referred to us by Partnership to End Addiction staff or a former Partners for Hope team member, please list their name here:

Question Title

* Tell us about why you want to cycle and participate as a Partner for Hope with the Partnership to End Addiction:

Question Title

* Will this be your first cycling competition?

Question Title

* Are you able to complete the bike tour before the race end time of 6:00 pm EDT?

Question Title

* Are you part of a cycling/biking club?

Question Title

* Do you have any pre-existing injuries, medical conditions, special needs, disabilities, or require special accommodations of which we should be aware?

Question Title

* If yes, please explain here:

Question Title

* If so, which one?

Question Title

* Have you participated in an endurance event and fundraised on behalf of a charity before?

Question Title

* If yes can you tell us more about your fundraising experience?

Question Title

* If you are selected to participate in the 2023 TD Five Boro Bike Tour as part of our Partners for Hope Team, are you willing to fundraise a minimum of $1,000 to support our work?

Question Title

* What is your plan to reach your fundraising goal?

Question Title

* Do you have social media accounts?

Question Title

* Do you have a personal connection to our mission that you are willing to share?

Question Title

* If yes, please share here:

T