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2. Ride to Live Registration Form
4. Rider Information
6. First Name
7. Last Name
9. Driver's License
10. Date of Birth
11. Phone Number*
13. Email Address
15. Address1
17. City
18. State
19. Zip
21. Years of Experience
23. Select one:*

    1. 0-1 Year
    2. 1-3 Years
    3. 3-5+ Years
25. Available Class Dates
27. Dates: (select one)

    1. May 24, 2025
29. Motorcycle Information
31. Make
32. Model
33. Color
36. M1 Endorsement

    Riders must have an M1 endorsement to ride in the course.

    1. YES
    2. NO
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field