2019 Million Dollar Bike Ride New Team Application

DUE DATE: MONDAY, NOVEMBER 12TH

The Orphan Disease Center is now accepting applications for new team participation in the 2019 Million Dollar Bike Ride on Saturday, June 8th. Please submit this form to enter your disease group for consideration in our 2019 event. Submission does not guarantee your team's participation. Space for new teams is limited. We will contact you to let you know the status of your application. All applications are due no later than Monday, November 12, 2018.

Contact Name * First Last
Contact Title & Organization/Institution *
Contact Email *
Rare Disease Name/Affiliation *
Please describe above disease *
Name of Disease Foundation/Organization if applicable
Foundation/Organization Website, if applicable
Please describe your organization's past/current fundraising efforts, if applicable
The 2019 Million Dollar Bike Ride will include two participant levels. Please indicate your preference for participation in the bike ride. Your selection is not guaranteed at this time. Please only select one option. *
1) Grant Match Fundraising Team: Teams must raise a minimum of $20k to receive a dollar for dollar match to be used for a 1-year pilot grant. The ODC will match up to a maximum of $30k, but your team can raise beyond this maximum to fund your pilot grant. 2) Independent Fundraising Team: If your team is less likely to raise a minimum of $20k to be eligible for matching funds, but would like to participate in the ride as a way to generate interest in your disease area, we are offering an opportunity to do so at this level. Your team pays a $1,000 participation fee (includes 10 cyclist spots) and independently raises funds to be used at your own discretion. The ODC will not offer matching funds and will not facilitate grant funding at this level.
How did you hear about the Million Dollar Bike Ride? *
Please tell us about your interest in this event and why it would be beneficial to your cause. *
Please note:

Submission does not guarantee your team's participation in the 2019 Million Dollar Bike Ride. Space for new teams is limited. We will contact you to let you know the status of your application.

2019 Million Dollar Bike Ride New Team Application

2019 Million Dollar Bike Ride New Team Application

Please note: