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Class Registration

Contact Information
(As it appears on your Driver's License)
First Name*
Last Name*
Mailing Address*

Email Address*
Primary Contact Number*
Secondary Contact Number
Selected Class:
Jul 19 at Carrollton
Cost: $195.00
License Information
(Each student must be registered individually)
Name as appears on License*
Date Of Birth*

Exp Year*

Bike Type: 

Terms - Please Read Below and Indicate that you agree with the statements
**I agree and understand that I MUST provide appropriate clothing for this course including:
  • D.O.T Helmet (Helmets are available or you can use your own)
  • Sturdy over the ankle shoes. (Leather high tops are fine)
  • Long Sleeve Shirt
  • Long Pants
  • Full fingered gloves. Preferable with at least leather palms. (We have Gloves you can borrow or you can use your own)
  • Eye Protection (i.e. Face shield, goggles, or glasses)
**I agree and understand that I MUST complete this course in it's entirety. If I miss any segments of the course (this includes being tardy), I will not be able to continue and I will have to register and pay for a new class to receive a certificate.
**I understand and agree that there are no refunds of any kind for this class and that I must give a minimum of 72 hours notice to reschedule without a penalty of $50 per student to reschedule.
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