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Register for Class #14642

Class start date: Friday June 16, 2023

Class schedule: 2:00PM

Class location: Silverdale

Class cost: $75.00    


Please enter the STUDENT information for this registration
Required fields are marked with **. These fields MUST be entered.





First Name**:
Last Name**:
Driver License Number**:
Driver License State**:
Address**:
City**:
State**:
Zip Code**:
Date of Birth(Year)**:
Date of Birth(Month)**:
Date of Birth(Day)**:
Gender**: Female Male
Are you active duty Military stationed in Washington?**? Yes No
Would you like to use a scooter or a motorcycle in the class?** Scooter Motorcycle
Would you like to bring your personal motorcycle or scooter for the class?**
NOTE: If class type listed above is "Riding Test (3), 2-Wheel Permit Skills Test, or 2-Wheel Endorsement Skills Test you MUST bring your own bike. All other classes you can use yours or ours.
YesNo    If yes, please fill the following four items.
  License plate number:
  Transmission type:
  Engine type:
  Engine size in CC's:
Phone Number**:
E-Mail address**:
Comments-please do NOT use a quote " character or an apostrophe ' character:


Cancellation & Reschedule Policy
PLEASE READ AND APPROVE THE FOLLOWING AUTHORIZATION

Refunds will ONLY be issued for cancellations made at least 10 days before the class. If you call to cancel less than 10 days before the class, you will forfeit your entire registration fee. If you would like to reschedule your class, there is a $25 rescheduling fee if rescheduled 10 days prior to the beginning of your class. If you are late or do not show up for your class, you forfeit your entire registration fee.

While our staff will do as much as possible to help you learn to ride safely we can not guarantee that you will learn to ride, or that you will pass the written and riding exams that are required to successfully complete this class.

I understand and agree to the prior statements by checking the box.

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