Dragoo Adventure Rider Training (DART), Houston, TX, February 17-18, 2019

Registration Information

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* 1. Name

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* 2. Full Address (INCLUDE STREET ADDRESS/CITY/STATE/ZIP)

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* 3. Cell Phone Number (with area code)

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* 4. Email address

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* 5. Motorcycle Model and Year

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* 6. Using any number from 1 to 5, rank your riding skill level on both dirt and street, with 1 being the lowest/worst ranking and 5 being the highest/best

	1	2	3	4	5
Dirt	Dirt 1	Dirt 2	Dirt 3	Dirt 4	Dirt 5
Street	Street 1	Street 2	Street 3	Street 4	Street 5

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* 7. Reason For Taking Class (what specific skills do you most want to improve?)

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* 8. Emergency Contact (name and phone number)

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* 9. How did you hear about us?

Friend recommended

Social media (please specify type in "Other" comment box below)

Dealer (please specify name of dealer in "Other" comment box below)

Other (please specify)

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* 10. Thank you for your registration. You should receive confirmation within 24-36 hours.
PAYMENT: Secure your spot by mailing a check payable to Dragoo Adventures LLC for $495 (includes tuition and range fees) to Bill Dragoo, 4141 W. Robinson, Norman, OK 73072. Indicate "Mailing Check" in the box below.
PAYING BY PAYPAL? Send PayPal payment to dragooadventuresllc@gmail.com and indicate "Paid by PayPal" in the box below.
MORE INFO? Feel free to call, text or email Bill with any questions at (405) 830-6630 or bill1dragoo@gmail.com.
RELEASE AND WAIVER OF LIABILITY: Please review at this link: https://billdragoo.files.wordpress.com/2018/02/dart-relase-and-waiver-of-liability-0717.pdf
We will have a copy for you to sign at Orientation.
METHOD OF PAYMENT (Indicate in box below):