Register for Bicycle Safety Week | Saskatchewan Prevention Institute

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Bicycle Safety Week Participant Registration

* Contact Name:

Name of Organization:

* Address:

* City:

* Postal Code:

* Phone:

Fax:

* Email:

What activities do you have planned for the event?

Do you have any partner groups or agencies for the event?

Estimated number of participating children under 8 years of age:

Estimated number of participating children over 8 years of age:

By registering as a participant of Bicycle Safety Week, you agree to make your contact information available to local media (newspaper, radio, TV) during the week of Bicycle Safety Week. If you do not want to be contacted by the media, please fill in your full name here: