2022 - Rider Pre-Registration

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Event Date: July 2nd
Rider Registration: 9:00 - 11:00am
Parade Start Time: 12:00pm

Email *

Rider's Full Name *

Did the rider participate in our past event? *

Yes

Other:

Riders Date of Birth? *

YYYY

Rider's Mailing Address

Telephone Number

Rider's Parent or Guardian's Full Legal Name (if rider is under 18)

Relationship to Rider (please put self if over 18) *

Will the parent or guardian be riding with the scheduled rider? *

Yes

Other:

Required

I acknowledge that there will be a liability waiver that will need to be filled out prior to entry of any vehicle. *

Yes, I understand

No, I do not understand

Required

Due to the rapid changes of Covid-19, we are subject to follow any guidelines that are in place at the time of this event. Are you and/or your child willing and able to comply with the NYS Covid regulations? Please select other if you need to communicate any information to us about this! *

Yes

Other:

Any questions please contact 716-467-5483 or 716-410-6481 or you may communicate on the line below......(if you do not have any questions/comments or concerns please say "None"....) *

Send me a copy of my responses.

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