STUDENT INFORMATION UPLOAD

STUDENT INFORMATION UPLOAD FORM

Use this form to: upload, Licence, Insurance, Registration, upload registration information, etc…

Preferred Name:

My Course:

Submission Type:

Reason for Update:

Details:

PLEASE INCLUDE: • both FRONT & BACK of your driver’s licence or it will be VOIDED. If uploading your temporary license it must be accompanied with VALID government issued picture ID such as a passport. An expired license will not be accepted.

PLEASE INCLUDE: • both FRONT & BACK of your driver’s licence or it will be VOIDED. • insurance • registration If uploading your temporary license it must be accompanied with VALID government issued picture ID such as a passport. An expired license will not be accepted.

Upload: (all in one submission)

Drag & Drop Files, Choose Files to Upload You can upload up to 6 files.

I AGREE AND WITHOUT EXCEPTIONS THAT,

• I have checked that my licence is VALID and not expired
• It is my absolute responsibility to send in any updates that occurs prior to my course start
• I am including both the front and back of my licence
• If I have a temporary licence, I will accompany it with another VALID form of government issued photo ID
• I am legally required to have my licence on my person and show it to my instructor each day of my course in order to able to participate (temporary licence accompanied with another VALID form of government issued photo ID)

As I am using my personal machine, I also agree that,

• I have checked that both my registration & insurance are VALID and not expired

New Email Address: (This will not change your user ID)

Email

Confirm Email

Update Emergency Contact:

Their Prefix:

First & Last Name:

Relation To You: must be 18+

Phone Number:

Please ensure it is correct

Module Date:

Module:

Healthcheck:

• No symptoms here, let’s do this!
• I am aware that if I have mild symptoms (not covid) that I will be required to wear a mask within the trailer spaces.
• I am aware that if I am or become quite ill / have covid, I cannot attend out of respect for the health and safety of others as well as myself.
• I am not well and will not be attending

Important!!

I have checked over all the information provided above to make sure it is all correct
Any and all images are not blurry or covered/missing parts

Additional Comments/Concerns:

Signature

Clear Signature

Submitting for the purpose of being able to attend the on-bike portion of my course

Cart

STUDENT INFORMATION UPLOAD FORM

Update Emergency Contact: