Register for Class #23232

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 WMST provided motorcycle or scooter for your safety course?**	Scooter Motorcycle

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 $75 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.