The Burford Optimist Club is dedicated to supporting the youth in our community.
As part of that commitment and with the opening of the new Burford Skate Park, we are pleased to offer assistance to local families in financial need by providing essential scooter or skateboard gear for their children and teens.If your family could benefit from this support, please complete the confidential form below and indicate the specific gear you require.
Your Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Child's Name
First Name
Last Name
Child's Age
*
Submit
Equipment that you require ( check all that apply):
Should be Empty: