Ride Forms

Cops Cycling for Survivors is dedicated to making a difference in the lives of survivors and organizations supporting survivors. Through our fundraising efforts, we aim to provide financial support and resources to those in need. Join us in our mission to create a safer and more supportive community. Together, we can make a lasting impact.

Please remember to pay the registration fee in our store.

If there are any questions please contact Monica Zahasky at 812-727-0725.


Donations are the heart of our fundraising efforts! We give as much as we can back to survivors and organizations supporting survivors.  Participants are required to fundraise $75 per day that they ride. The registration fee is separate from fundraising. Each registered rider will have a fundraising campaign page on the website with the minimum required fundraising goal based on the number of days they plan to ride. Riders are encouraged to exceed their goal.

Sponsor Form

If you would like to sponsor a rider but do not wish to donate online, please print the sponsor form and mail it to Cops Cycling:
P.O. Box 597
Ellettsville, IN 47429 

New Grant and Grant Renewal Form:

Organizations seeking funding from Cops Cycling for Survivors Foundation must submit an annual application by September 1st.