2. Informational Night
Trek Across Maine 2013 (June 14-16th)
CBC Cycling Team
Purpose youth development – challenge, commitment, positive stories, mind, body, and spirit,
rite of passage, intergenerational, community service
Level of team involvement – your choice
o Anonymous
o Mentoring – Trek youth ride supervision
o Training rides: Saturdays 8:30AM from CBC starting April 6th
Captain rides
Training partners
o Fundraising:
Captain fundraising efforts
Team goal: $25,000
o During Trek Across Maine
Reserve lodging at Sunday River for June 13th on March 1st
Camping versus Field Houses
Finish Trek together
Group picture
o Cycling Gear Solicitation - raingear, shoes, shorts, gloves, eyewear
Other support
o Team jersey – need corporate sponsors
o Roller trainers & indoor cycling bikes at the CBC
o Bike inspections at the CBC
Expenses:
Registration $65.00
Minimum fundraising $500 ($400 age 17 & younger) Speedy Check-in by May 22th
Round trip bus (Portland - Sunday River & Belfast - Portland) ~$60 Sunday River
lodging ~$27 through team
Meals before Trek ~$22
Massages $15 for 15 minutes
3. Intention to Commit
Trek Across Maine 2013
CBC Cycling Team
I, __________________________, intent to commit to the following activities with integrity,
timeliness, caring, effort, respect, and energy. I will commit to:
General:
Attending and participating in as many as possible Trek 2013 related activities.
Reading and understanding the Trek Handbook and ALA-NE materials.
Being interviewed by various media personnel concerning my involvement in the Trek.
Arrange for lodging at Sunday River on March 1, 2013
Arrange for transportation to and from the Trek by April 1st.
Fundraising:
Soliciting support from anyone who will support me: family, teachers, friends, whomever.
$400 (age 17 and under) submitted to ALA-NE before May 22, 2013 for Speedy Check-in.
Asking for and collecting my minimum fundraising $400 by June 14, 2013 to ride.
Asking for and collecting pledges totaling my most hoped for incentive by June 14, 2013.
Training, Health, & Safety:
Complete the physical training routine specified by the Trek Across Maine.
Taking care of my emotional & physical health: nutrition, fitness, and sleep.
Living smoke free (cigarettes and marijuana) during all Trek related activities.
Abide by the Trek Across Maine behavior and safety regulations.
Personal Challenges:
Taking the safe risks necessary to do things that are new and uncomfortable for me.
Communicating with my Trek Team if I am struggling with any of the commitments.
Asking for help to determine solutions to my Trek related problems.
Having fun and making this experience successful by maintaining a positive attitude.
Respect & Integrity:
Following through with what I say I will do to support this individual and group effort.
Respectfully talking with anyone that asks about my involvement in the Trek Across Maine.
Speaking with each other with truth and honesty.
Committing to each and all of these commitments from this day forward.
____________________________________ ______________________________________
Trek Cyclist Date Witness/Parent Date
4. Deadlines
Trek 2013
• Sunday River reservations - March 12th - 1-800-543-2754
• Bus tickets - opens April 1 - May 21
• Belfast meal tickets - April 1 - May 31
• Team Reg. deadline - May 21
• Speedy check-in deadline - May 21
• Winner's Circle deadline - May 21
• Sunday River Check in - Thursday, June 13th
5. Trek Across Maine
Mountains to the Sea
CYCLIST REGISTRATION FORM
JUNE 14, 15 & 16, 2013
Registration is Limited - Pledge Minimum for Trek 2013—$500
(Average total raised per Trekker in 2011: $800.00)
Children ages 7-17 - Minimum Pledge $400
Since safety is a priority, children under the age of 7 cannot participate in the Trek. Children between the ages of 7-12 must ride
on a tandem bike or tag-a-long and all children under 18 must have an adult guardian (limit three children supervised per adult).
Name: ___________________________________________________ Address: _______________________________________________
City: ____________________________________ State: _______ Zip:____________ Workplace/School ____________________________
Occupation: ______________________________ Phone (H): _______________________ (W): _____________________ Ext:________
Email: ______________________________________ Date of Birth: ___________ Sex: ______ T-shirt Size: S M L XL XXL
I will be participating in a Trek Team. Print Team Name : __________________________________________________________________
I will be the Team Captain.
Yes, I allow ALAME to release my name and contact information to the rest of my team members.
Available Accommodations: Friday—UMF Available Accommodations: Saturday—Colby College
Dorm Bed (limited to the first 750 trekkers that request option) Dorm Bed (limited to the first 650 trekkers that request option)
College Loop Option (Waterville) - Dorm Bed (space is limited); Gym/Fieldhouse (No cots available. Bring sleeping mat or pad)
You will receive the same room for both Fri & Sat nights. Camping
ALAME will transport via shuttle. Other (will make my own arrangements for accommodations)
Gym/Fieldhouse (No cots available. Bring sleeping mat or pad)
Camping Roommate Request : _________________________________________
(both nights if applicable) Must be a registered Trekker or Volunteer
Other (will make my own arrangements for accommodations)
Do you have a disability that requires special housing
Contact ALAME: 122 State St., Augusta, ME 04330 or assistance? Yes No
phone: 1-888-241-6566 x 0312 fax: (207) 626-2919
email: trekacrossmaine@lungne.org If you are under 18, please print the name of the registered adult
guardian who will be riding, rooming and responsible for you.
Be sure to include the non-refundable, non-transferable registration
fee: $65.00 Adult Supervisor: ____________________________________________
To become a lung health advocate, and join us in the fight for
healthy air go to: http://lungaction.org/ala_maine/join.tcl Please complete both sides of this Application
Payment: Check #_______ Credit Card #____________________________Exp. Date:_______ CVV______
Name on Credit Card:__________________________Signature_________________________Date:___________
ALAME supports the Bicycle Coalition of Maine. For information call: (207) 623-4511 or www.bikemaine.org
6. WARRANTIES AND LIMITATIONS OF LIABILITY MEDICAL HISTORY
(To be completed by applicant)
The undersigned, a participant in the Trek Across Maine - If you have had or are currently experiencing any of the
Sunday River to the Sea, offered by the American Lung following conditions, please circle the number and give details at
Association of Maine, warrants and agrees as follows: the end of this section.
1. Do you have any medical history related to the
1. I acknowledge that the Trek will require strenuous physical head, heart, lungs, kidneys, liver or intestines?
activity and endurance and that it involves risk of injury
and accidents. 2. Do you have frequent dizziness, fainting, seizures or
persistent headaches?
2. I certify that to the best of my knowledge, I have no
physical condition which will be aggravated by the activity 3. Do you have food intolerance?
and endurance anticipated or which will impair my ability to 4. Do you have Jaundice or Hepatitis?
participate in and withstand the contemplated activities.
5. Do you have frequent diarrhea or blood in the stool?
3. I have neither suffered any illness nor taken any
prescription medication within the past thirty (30) days 6. Do you have chronic pain in the back, neck,
except as otherwise written on the medical history form shoulders, arms or legs?
which accompanies this form.
7. Have you ever been hospitalized for a serious condi-
4. In consideration for accepting me as a participant in the tion?
Trek, I assume all risk of damage or injury which may be
8. Have you ever had episodes of depression, anxiety,
suffered by me as a result of my participation in the Trek
hysteria, or nervousness?
and agree that the above named institutions, their agents
and employees, will not be liable for any damages directly 9. Are you currently on any medications?
or proximately caused by any act, happening, or event
other than those occasioned solely by the negligence of 10. Do you have any allergies?
said institutions or their agents. 11. Do you have asthma?
5. I grant full permission to any & all of the foregoing to use 12. What is your current level of physical activity?
my likeness participating in this event without obligation or
liability to me.
13. Is there anything else you wish to share with medi-
6. I understand that my obligation for the Trek Across Maine cal personnel related to your ability to ride the Trek
is to collect the pledge minimum. Before I ride the Trek, I Across Maine?
must show that I have raised the $500 minimum, which
may be a combination of collected pledges and sponsors
who wish to be billed ($25 and over). After the third billing
on 9/14/13, I understand that I am responsible for those If you circled any of the items above, please list details below
uncollected pledges that represent the minimum and that I according to item number. Be specific (include dates, names of
have until 10/31/13 to either collect the outstanding medication, history of condition, etc.) Use additional paper if
amount or pay the amount myself. necessary.
Signature of Participant:_____________________
Date: _________________ Applications will be reviewed and a medical
authorization may be required.
In Case of Emergency, Notify: ___________________________________________ Relationship: ______________________________
City: _________________________State: ______ Zip: ____________ Contact Phone (1): ________________ (2):_________________
Physician: _______________________________________________ Physician’s Phone: _____________________________________
MEDICAL INSURANCE COVERAGE - For insurance records, answers to the following questions are required in detail.
Do you have medical insurance coverage? Yes No
Insurance Company Name & Policy or Certificate Number: ______________________________________________________________
American Lung Association of Maine is committed to maintaining the privacy of certain confidential health information, known as
Protected Health Information or PHI. By signing or submitting this application for registration in the Trek Across Maine, you give
American Lung Association of Maine permission to use or disseminate this health information, if the need arises.
7. Mentor Trekker Job Description
Trek Across Maine 2013
CBC Cycling Team
Purpose: To maximize youth Trek cyclist’s “success” with fundraising, training, cycling, and
enjoying the Trek Across Maine experience.
Primary Responsibility: Support youth Trekker in all aspects of the “Intention to Commit”
contract.
Periodically inquire about your mentee’s hopes, issues, fears, concerns, and ideas about the
Trek.
Support your mentee’s through joint physical/emotional training.
Check-in with mentee’s parents/guardians periodically.
Coaching your mentee in his/her fundraising efforts.
Assist mentee in completing ALA-NE fundraising paperwork.
Helping mentee find transportation to and from the Trek.
Helping your mentee secure needed cycling clothing and safety gear.
Helping mentee get oriented to the Trek weekend.
Cycling within eyesight of mentee during the Trek.
8. r-li r--~~:"'i
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---"':~
, Personal Fundraising Plan I
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Worksheet
I will begin fundraising: Date _
My own pledge: $ _
My plan for outside pledges:
/
i I will ask at least number of people for pledges and I will start with this list:
Family: --'- ~ _
Friends:
-----------------------------------
Docton:
----------------------------------
Teachers:
------------------------------------
Boss:
Co-workers:
------------------------------------------------------------------
Others: '~' _
_ .--: ---'- _
> My first "outside" pledge: $ , from
---------------------------
> I have reached halfway: $7J]o~1 now have sponsors.
> Pledge minimum: $ ""-1 now have
~Vo sponsors.
> Favorite incentive: $ _ level.
Winner's Circle:$·i()i.,Hy"·....
Other goals: $ _
Cong ratu lations!
•• ••• _u __ • ~
9. Fundraising Ideas
American Lung Association of Maine
Trek Across Maine
Solicitation while on training rides
Door-to-door in neighborhood & local businesses
Letters to local celebrities
Wal-Mart fundraising day and match
Raffle event
Tag sale event
Bottle collection drive
Employer matches
Family- friends – relatives – acquaintances
Percentage of sales from a local business
Dinner fundraiser
Local fraternal organizations
10. Fundraising Letters
American Lung Association of Maine
Trek Across Maine
What needs to be in a fundraising letter?
What you are requesting?
Financial donations average $21 per person
What is the cause and why is the cause important?
American Lung Association of Maine: look at the list of accomplishments
What is the fundraiser?
Trek Across Maine: briefly describe the Trek
Who are you? What is the Trek Across Maine Team of the Community Bicycle
Center?
How does someone contribute?
Supporting Resources:
1. ALAM fundraising literature
2. ALAM website – www.lungme.org bike treks
3. ALAM personal and team web pages
4. Previous newspaper articles
5. Example fundraising letters
6. Photographs of Trekkers
11. Trek Across Maine
Sunday River to the Sea
PLEDGE TRACKING FORM
Use this pledge tracking form to record all your pledges and keep for your records.
TREKKER NAME & NUMBER:
DONOR/COMPANY NAME ADDRESS (CITY, STATE, ZIP) INDICATE TYPE OF AMOUNT DATE SENT
PLEDGE: TO ALA-ME
COLLECTED OR
BILLED
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
RECORD YOUR PLEDGES ON THIS SHEET AND $________
KEEP FOR YOUR RECORDS. (Total)
12. Thank You Letters
Trek Across Maine
Community Bicycle Center
After you receive a contribution to your American Lung Association of
Maine fundraising send a thank-you letter to the donor within one week.
You can either send a formal thank you letter or a note card. The letters can
either be typed or handwritten. The content of the letter should include:
1. Paragraph 1: Thank You - Starting with a simple thank you for the
contribution. State the amount of the donation. Consider mentioning your
progress toward your personal fundraising goal.
2. Paragraph 2: Impact of Donation - Stating reasons why the donation will
help the American Lung Association of Maine with its mission. You can
find recent accomplishments of the ALA-ME in the materials they send
you or through their website.
3. Paragraph 3: Your Accomplishments - Consider telling the donor your
accomplishments in the process of preparing for participation in the Trek.
You can mention things like you have begun training, the team has a
fundraising event scheduled, or you have ridden so many miles training.
4. Paragraph 4: Thank you & Keeping in Touch - Finish your letter or note
re-thanking your donor and letting them know that you send a follow-up
letter after you finish the Trek.
Other things to remember:
1. Keep track of your donors on the Pledge Tracking Sheet.
2. Keep track of the dates you have sent thank you letters.
3. Send donors relevant newspaper articles or pictures of you Trekking.
4. Tell donors they can keep track of your efforts through the CBC FaceBook
page or a Blog if you create one.
5. Proof - Read!!!
Resources:
1. Online you can find examples of thank you letter formats. Most of these
examples apply to job interviewing thank you letters, but the letter
formatting still applies.
13. Reminders
Trek Across Maine 2013
Arrange for LODGING at Sunday River
Arrange for TRANSPORTATION to Sunday River
Arrange for TRANSPORTATION from Belfast to home
Mail in GUEST MEAL TICKETS
Complete & submit REGISTRATION PACKET paperwork:
o Bicycle Inspection
o Safety, Crash Prevention & Code of Conduct form
SPEEDY CHECK-INS
TRAIN & FUNDRAISE
14. TREK PACKING CHECKLIST
Allowed 1 soft personal bag / sleeping bag / 1 tent per person
Sleeping bag
Pillow
Tarp
Sleeping bag pad
Personal kit (including shower items)
Underwear
Cycling jerseys
T-shirts (2 short sleeved and 1 long)
Sweatshirt (fleece)
Bathing suit and towel and plastic bag
Socks (regular and biking)
Shorts (regular and biking)
Pants (regular and cycling)
Lightweight rain gear (top and bottom)
Plastic shower cap (wear over bike helmet if it rains)
Warm clothes (on & off bike)
Cycling gloves (half & full finger)
Cycling shoes
Regular shoes or sandals for non-biking time
Sunglasses - eyewear
Water bottle
Snack food
Sunscreen (lotion and lip balm SPF 15 or higher)
Mosquito repellant
Tylenol or Motrin
Wallet & money for bike repairs & massage
Sm. Pkg. Tissue (for emergency road pit stops)
YOUR BIKE!!!
YOUR HELMET!!!
Extra bike tube, pump or CO2 cartridges, hex wrenches, tire levers, patch
kit
Camera & dry bag
Cell phone
Team member contact & Emergency contact list
**Trek check-in papers and $500 ($400 for age 17 and
under) pledge minimum**