Southington Rides Safe Registration

Pre-Registration Required

Event: Southington Rides Safe [Junior Elks Riders]
Date: September 6th
Time: 10 am - 12 pm
Place: 114 Main Street Southington
Sponsored by Elks Lodge 1669
1.Name of Parent/Guardian
2.Parent/Guardian's Email
3.City of Residence
4.Number of children (ages 8-14)
5.Ages of Children