Class Registration

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

Email Address*
Primary Contact Number*
Selected Class:
Basic - eCourse
Mesquite Town East
Oct 13 08:00 AM-05:00 PM
Oct 14 08:00 AM-05:00 PM

Cost: $225.00
License Information
(Each student must be registered individually)
Name as appears on License*
Date Of Birth*

Requested Bike Type: 

Terms - Please Read Below and Indicate that you agree with the statements
**I agree and understand that I MUST provide the following gear for this course:
  • Long-sleeved shirt or jacket. Must cover all of your arms.
  • Long jeans or sturdy pants without holes.
  • Full fingered gloves. (No open back or cut out fingers)
  • Sturdy boots/shoes that cover the ankle.
  • D.O.T Helmet. (provided if needed)
  • Shatter resistant eye protection. (i.e. sun glasses, prescription glasses, your helmets face shield)
  • Valid photo ID / License.
**I agree and understand that I MUST complete this course in its 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 3 business days notice to reschedule.