JUNIOR RED BUD RIDE PARTICIPATION Registration Form
Fill out the form carefully for registration
Name
First Name
Last Name
Age
Grade
School
(The elementary school with the most participants wins a prize!)
In the case that you can not bring a bicycle to the event, London Downtown will provide bikes to be used during the race. Will you be bringing your own bike?
Please Select
Yes
No
Do you have a helmet?
Please Select
yes
no
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian E-mail
example@example.com
Parent/Guardian Mobile Number
Emergency Contact
Please enter a valid phone number.
Parent/ Guardian Name
Parent/ Guardian Signature
Additional Comments
Submit
Should be Empty: