RFC Child Application

Ride for a Child - Child Application

Pedal the Cause (PTC) is a nonprofit organization in St. Louis, Missouri with a mission to accelerate breakthrough cancer research at Siteman Cancer Center and Siteman Kids at St. Louis Children’s Hospital by inspiring and mobilizing a community committed to curing cancer. 100% of participant-raised donations seed, speed, and lead cutting-edge cancer research. Since 2010, Pedal the Cause has donated over $51 million, funding 238 innovative cancer research projects.

Ride for a Child (RFC) is a special program of Pedal the Cause that pairs teams with pediatric oncology patients who have gone through treatment or are currently being treated at Siteman Kids at St. Louis Children’s Hospital. It is an inspiring way for teams to connect with a child who is or has in the past received state-of-the-art care at Siteman Kids at St. Louis Children's Hospital.

Through pre-event meet-ups and events, teams are able to form a meaningful connection with their child and family, with many teams and families staying in touch long after the event. For participating children, the RFC program gives them a supportive team of individuals that will train, fundraise and ride in their honor.

Thank you for your interest in the 2025 Ride for a Child program! Please fill out the APPLICATION below.

Child Information

Child's Name:(Required)

First Last

Birthdate:(Required)

Diagnosis:(Required)

Hobbies and Interests:(Required)

Favorite Celebrity, Band, Sports Team, Character:(Required)

Background/Story

Briefly tell your child's story (you may touch upon details such as when was the child diagnosed, how this circumstance has impacted your family, how your family and child dealt with the circumstance, and what the future holds for your child):(Required)

Briefly describe your experience with Siteman Kids at St. Louis Children's Hospital and why you would like to participate in Pedal the Cause's Ride for a Child program:(Required)

Would you be interested in sharing your story in an interview?(Required)

Parent/Family Information

Parent(s) First & Last Names:(Required)

Names and ages of siblings (if applicable):

Phone number:(Required)

Email Address:(Required)

Email Confirm Email

Home Address:(Required)

Street Address Address Line 2 City State ZIP Code

Facebook, CaringBridge, or website page (if applicable):

Please select the best way for your team to communicate with you:(Required)

Ideally, how often would you like to receive communication from your RFC team (check one):(Required)

Every other week

Monthly

Every other month

Other

Please describe if your child has any food allergies or physical limitations:(Required)

T-Shirt Sizes (all sizes are unisex)

Child's T-Shirt Size:(Required)

Sibling's T-Shirt Size:

Parent(s) T-Shirt Size: