Program Registration

You've reached the registration page. Be sure to only complete this form once for all youth in the household that will be registering for this activity. 

If there are any updates to your previously entered information, please do not fill out another registration. Instead, contact PAL staff directly at
CAR SEATS EVENT - Saturday, October 22nd
LOCATION: Sisters of Charity Hospital and Family Health Center Cardiac Parking Lot (2157 Main Street, Buffalo, NY
TIME: 1:00-5:00 PM

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* 1. Please select a time slot: 

Question Title

* 2. How many youth do you plan to register today for this activity?