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Tour Date Requested:
Your Information
Email:
Name:
Address:
City:
State:
Zip Code:
Day Phone:
Evening Phone:
Age:
Birth Date:
Sex:
Height:
Weight:
Motorcycle / Gear / Experience
Motorcycle License?:
Riding Experience:
Bring your own gear?:
Bring your own motorcycle?:
Boot size:
Glove size:
Helmet Size:
Pant size; Waist:
Pant size; Length:
Jersey Size:
Health / Security Information
Health & Diet:
Name of Emergency Contact:
Emergency Day Phone:
Emergency Evening Phone:
Insurance Carrier:
Policy #:
Do you have any medical conditions?:
If so, explain:
Are you taking any medication?:
If so, explain:
Do you have any allergies?:
If so, explain:
Are there any foods that you DO NOT eat?:
Additional Comments

Note: Signature is required prior to tour departure. A registration form is necessary for each member of your group. Minors must be accompanied by adult responsible for them and signatures of both should be included.