Which course are you registering for? (Choose from list) * Click here and choose...Trail Braking Camp (90-minute Lesson: include location - date - time in Special Notes section below)Waiting List - included venue and date in the Special Notes section
First Name
Last Name
Address1
Address2
City
State
Zip Code
Age *
E-Mail *
Cell Phone
Home (Alternate) Phone
Emergency Contact Name
Emergency Contact Phone
Relevant Medical Info (bee sting allergies, asthma, etc.)
List any physical limitations you have riding a motorcycle (if applicable)
Make and model of your motorcycle(s)
Your Height is less than 6’6" (Important only for trail braking camp bike fitment) * YesNo
Your Weight is less than 275 lbs. (Important only for trail braking camp bike fitment) * YesNo
Total Years of Riding Experience
Approximate Miles Ridden per Year
What is your usual road riding pace? ComfortableBrisk at TimesIntense
Are you left or right handed? RightLeft
What motorcycling skills or techniques do you most want to develop?
You will have appropriate medical insurance at the time of the course? * YesNo
Are you a current AMA member? NoYes
AMA # if member
T-Shirt Size SMLXLXXL
How did you hear about this Street Skills course?
Special Notes, Questions or Names of those you wish to attend with: *
Check box if you have a copy of Jon’s "Cornering Confidence" book
Check box if you’re already enrolled in Jon’s "Cornering Confidence" online course.
How many wheels does a motorcycle have? *
1 + 3 = ? Please prove that you are human by solving the equation *
