Cyclists hope to raise $500,000 to close the gap between country and city.
This year, 63 riders headed off from Albury, traversing a more than 400 kilometres, including a stopover in Wagga, to finish up at Lake Cargelligo all in the name of helping "country kids".
Wagga's Jim Weeden was a client of Royal Far West back in the 1950s and while it was a long time ago, he has never forgotten what they did for him.
"It was back in 1956 or 1957 when I was living in Hay," he said.
"It was around Christmas time and they would pick up the kids who never had a chance to go on a holiday.
"I went down for two weeks and I can remember having a fun time with the other kids and we would have sing-alongs after meals."
Mr Weeden said since that time, the charity extended the services and was helping the children in the country who needed it most.
One rider, Chris Anderson, is also a social worker for Royal Far West and was keen to get out there despite not having been a cyclist for long.
"I have grown up in the city, but we support families from all over the state so I wanted to get out and see some of those places," he said.
"I have only been cycling five months ago and I got my first bike and started doing 50 kilometres a week and then stepped it up. The first day was 170 kilometres and I think we all helped each other through it."
Mr Anderson encouraged those who were able to support the cause.
Danielle Chapman, head of marketing and fundraising, said Royal Far West is a 95-year-old charity that connects children in the countries with the care they need.
"Right now there are up to 300,000 children living in rural or remotes areas who can't access specialist healthcare," she said.
"Things like speech pathology, psychology, occupational therapy, specialist paediatrics - these services can be far away or the waiting lists can be long."
The charity has a residential program, where children can stay with their families in order to see all the specialists they need to in one go.
"We also use a technology called TeleHealth and we work with a number of schools in Wagga using that," Ms Chapman said.
"Now in its sixth year, Ride for Country Kids our biggest fundraiser and all funds raised through the ride support country children."
Supported by Wagga's Country Women's Alliance and other community-driven organisations, on April 7 the riders stopped at Willans Hill model railway for afternoon tea. To support go to rideforcountrykids2019.gofundraise.com.au.