Pedal for a Purpose
Team entry form 2026
Captain Name
First Name
Last Name
Captain Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Captain Email
example@example.com
Team Name
Business/Organization Name
If applicable
If you know your team members, list below
Team member names and email addresses must be submitted by Monday, March 23rd
How will your team participate? Virtual or In-person?
In-person
Virtual
Availability Update
Slots are filling fast - limited availability at Dahl Location still available!
Dahl 11:00-12:00PM Still available!
Which location would your team like to participate at?
Dahl YMCA
Houser YMCA
Preferred Choice 1
7:00 - 8:00 AM
8:00 - 9:00 AM
9:00 - 10:00 AM
10:00 - 11:00 AM
11:00AM - 12:00PM
Preferred Choice 2
7:00 - 8:00 AM
8:00 - 9:00 AM
9:00 - 10:00 AM
10:00 - 11:00 AM
11:00AM - 12:00PM
Individual or a on a team?
Individual
Team
Submit
Should be Empty: