PEDAL POWER REGISTRATION FORM

 

 

Name_______________________________________________                          Age_____________

Street Address_____________________________________________________________________

City_____________________________________________________________________________

Phone Number________________________________________

Parent's Signature___________________________________________________________________

Please mail registration form to:

Dawn Reynolds
122 West Broad Street
New Holland, PA  17557
No later than September 26, 2010.
Any questions, please call (717) 354-4169.


Back to Pedal Power