Club Affiliation *

Members of any BMW Canada Clubs, MOA and RA can benefit from the club rebate.

Membership Number (if applicable)

Complete home address *

Home Phone *

Cell Phone *

Email Address *

Age (at track day) *

Gender *

Male

Female

Medical Insurance no (OHIP / RAMQ other)

T-Shirt *

Male

Female

SM

MED

LG

XL

2XL

3XL

Lunch: *

Note: The "Basic" lunch includes: a meat and cheese sandwich on regular bread, small potato or pasta salad, a fruit, a granola bar, a snack and a drink. For those with food allergies/intolerances or special dietary requirements, the following choices are available:

Basic

A - Basic lunch on gluten-free bread

B - Vegetarian sandwich on regular bread

C - Vegetarian sandwich on gluten-free bread

D - a mixed-greens salad with a Vinaigrette dressing

EMERGENCY CONTACT INFORMATION

Relationship *

Day Phone *

Other Phone

At track with you *

YES

NO

Special Medical Condition

if you have a particular condition that we should be aware of or medicine you must take, please prepare a sealed envelope with all necessary details and deliver it to the "Registration Coordinator" at the track. It will only be opened in an emergency.

Motorcycle Details (the one you plan to ride)

Year/Make/Model/CCs *

Total odometer reading *

Kms

Miles

How long owned? Years - Months *

How many Kms/Miles have you you riden it? *

Kms

Miles

YOUR RIDING EXPERIANCE

Total No. of Years Riding MC: *

Approximate Total Lifetime Mileage *

Kms

Miles

Average annual TOTAL mileage: *

Kms

Miles

Average annual mileage on THIS motorcycle *

Kms

Miles

Formal Training: *

N/A

Basic

Intermediate

Advanced (e.g. Ottawa Safety Council, M-C Safety Foundation, etc.)

Prior ARTS Year (if applicable)

Last ART Designation (if applicable)

100

200

300

Other TRACK schools (FAST, Turn 2, Pro 6) How many taken? Year of last course

Lapping Days (no formal instruction) How Many Days? Year of last outing?

Tracks Ridden: (e.g. Mosport, Calabogie, Shannonville, Mid-Ohio):

YOUR PREFERENCES

Preferred Language of Instruction:

English

French

Do you want to be placed in a group with a friend? If so - rider's name:

Note: you will be placed in the group appropriate to the least experienced rider.

I, the applicant, realize that motorcycle activities can be dangerous. I, for myself, my heirs, executors, administrators, successors and assignees, agree to save harmless and keep indemnified, the BMW Motorcycle Club of Ottawa and the Club Executives, from and against all actions, claims, costs and demands in respect to injury, death, loss or damage to my person or property howsoever caused, arising from my participation in ART School. *

Agreed to above waiver conditions

Advanced Rider Training
28 May 2018
Registration Form

PLEASE NOTE

REGISTRATION IS CURRENTLY CLOSED and WILL OPEN ON:

15 OCT 2017 - for CLUB MEMBERS

15 JAN 2018 - for NON-MEMBERS

BMW Motorcycle Club of Ottawa
P.O. Box 8503, Main Terminal
Ottawa, ON, K1G 3H9

Advanced Rider Training28 May 2018Registration Form

PLEASE NOTE

REGISTRATION IS CURRENTLY CLOSED and WILL OPEN ON:

15 OCT 2017 - for CLUB MEMBERS

15 JAN 2018 - for NON-MEMBERS

Advanced Rider Training
28 May 2018
Registration Form