BIKE RODEO/SAFETY ON WHEELS REGISTRATION
Saturday May 11th
KOMOKA COMMUNITY CENTRE (Not the Hockey Arena)
133 Queen Street
KOMOKA
9:00 - 12:00 Noon


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Email *
AGES 12 & UNDER
FEATURING: Prizes, Bike Safety Training, Bike Rodeo Course, Bike and Helmet Check, Hot Dogs & Cold Drinks for Participants
Non-perishable Food Donation Appreciated

Child's first name?

Please register each child on a separate form.
*
Child's last name?
Parent or Guardian name?
What is your address?
Phone number?
What school does your child attend?
What is the age of the child attending?
Clear selection
Do you consent to having photos taken of your child?
Clear selection
How did you hear about this event?
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Comments and/or questions *
A copy of your responses will be emailed to the address you provided.
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