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Sponsorship
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Help the Team
Become a Rider
Organize a Ride
R4WH Portions Rider Application
STEP 1: Complete the entire form below and submit.
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*
Indicates a required field
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First Name:
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Last Name:
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Age:
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Current Address:
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Current Phone No.:
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Current Email:
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Education:
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Work Experience:
*
What year are you applying to ride?
Select a year:
2009
2010
2011
2012
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What portion of the Ride are you able to do?
Select a portion:
Less than 5 days
5 to 10 days
10 to 20 days
20 to 30 days
How did you find out about the Ride?
Have you known any previous Ride for World Health riders? If so, please list:
Why are you interested in the Ride?
