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Class Registration


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

City*
State*
Zip*
Email Address*
Primary Contact Number*
 
Secondary Contact Number
Selected Class:
Jul 21 at Dallas
Cost: $195.00
License Information
(Each student must be registered individually)
Name as appears on License*
State*
Number*
Date Of Birth*

MM    DD   YYYY
Exp Year*

YYYY
Bike Type: 
Comments

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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