Register

Login Information

This will allow you to login to your personal fundraising profile.

Username
Password
Confirm Password

Rider Information

First Name
Last Name
Street Address
City
State
Zip Code
Phone Number
Email Address
Confirm Email Address

(Riders without an email address may share the email address of a parent/guardian.)

Birthdate
Gender
School Attending in Sept. 2021
Grade in Sept. 2021
T-shirt Size
Do you have a parent riding in PTC?
If you are riding in honor or memory of someone, please list their name(s) here:
In Memory Of...
In Honor Of...

Emergency Contact

Who should we contact in case of an emergency? Please enter a cell phone number if your emergency contact is another PTC participant so we can be sure to reach them.

Emergency Contact
Phone Number
Relationship

Living Proof

PTC20 Living Proof

Cancer survivors, thrivers and fighters will receive a complimentary Living Proof T-shirt included with your rider packet.