Request an Event or Education Presentation

Child Passenger Safety Technician must provide technician number in notes for  Check-Up Event request.

Education Presentations are classroom based presentations on child passenger safety. Car seats will not be distributed at education presentations.

 All fields marked with an asterisk (*) must be completed. 

Requesting Organization*  

Contact Name*  

Contact Telephone Number*

Contact Email*  

Type of Event and Services Requesting*  

Estimated Number of Attendees*  

Safe Riders requires a 2-3 month notice for event or presentation. Monday - Friday 8AM -5PM preferred, Saturday requests will be considered.  

Date of Event* 

Time of Event*  

Event Location Name*  

Event Location Address*  

City*

State*  

Zip Code*  

Notes: