Join

First Name is required.

First Name *

Last Name is required.

Last Name *

Please enter a valid date.

Date of Birth

Email Address is required.

Email Address *

Confirm Email is required.

Confirm Email *

Password is required.

Password *

Confirm Password is required.

Confirm Password *

Please make at least one selection.

What is your role with ALZ? *

Staff Member

Committee Volunteer

Day-Of Volunteer

Please make at least one selection.

If Committee Volunteer, please select which Committee you are a part of

Fundraising

Logistics

Marketing

Recruiting

Leadership

Please make a selection.

Are you participating/riding in any Rides for the 2021 season? *

Yes

Please make at least one selection.

Which Ride(s) are you participating (or volunteering) in? *

Please check all that apply.

Colorado

Texas

Virtual Challenges

Share why you Ride is required.

Share why you Ride

Tell why ride and who you ride for

0/250

Please make at least one selection.

What's your closest connect to the cause?

I have Alzheimer's or dementia

I am supporting or caring for someone with Alzheimer's or dementia

I have lost someone to Alzheimer's or dementia

I don't have a close connection, but support the vision of a world without Alzheimer's

I prefer not to answer

Mobile Phone is required.

Mobile Phone

Street 1 is required.

Street 1

Street 2 is required.

Street 2

Please make a selection.

State/Province *

City is required.

City

ZIP/Postal Code is required.

ZIP/Postal Code

Please make a selection.

Country *

This field is required

Please check the box below indicating you agree.

Indicate you accept the Terms & Conditions of this site by checking the box below. *

833-239-RIDE (7433)
Home Office 225 N. Michigan Ave. Floor 17 Chicago, IL 60601
Alzheimer's Association is a not-for-profit 501(c)(3) organization.

Community Guidelines
•
Security & Privacy Policy