RSO Sidekick Incentive Program Form

Please don't fill out this input box.

If you wish to sign up for the SafeRide Sidekick program, please complete the form below.  A supervisor will be in touch shortly to finalize the details. 

Please complete the questions below.

Name of RSO:*

Contact Person's Name:*

Contact Person's Email:*

Contact Person's Phone Number:*

RSO Advisor's Name:*

What date(s) would you like to volunteer?:*

How many Sidekicks spaces would you like to sign-up for?:*

Please list your RSO members that you would like sign-up:You'll be given an additional opportunity to make changes to this list.

Vendor/Supplier number:

Please list any questions, concerns, or comments here:

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