Class Registration

Name as it appears on your driver's license:

State of license issue:

Drivers License Number:

Birthdate: Age:

Street address:

City: County:

State: Zipcode

Primary phone number:

E-mail:

Emergency contact:

Phone number:

Date of Class You Want to Enroll In:

Select Your Class:

With less than 72 hours notice, your payment is not refundable or transferable.

By submitting this form, you agree to the following statement.

I hereby release and agree to hold harmless Ricky Orlando Motorcycle School, Inc. from all liability, loss claims, and demands that may occur from any loss, damage or injury (including death) to any person or property in any way resulting from or arising in connection with this school. I know the risk and danger to property and myself while participating in this school and in reliance upon my own judgement and liability and I assume all risk for loss and damage.

Following the submission of this form, you will be redirected to our course payment page. Online payment is required to reserve your spot in the class.

If you have any questions, please E-mail Ricky or call 303-666-6061

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