New to track program - KSR Trackday

Name

First

Last

Are you 18 or over?

Parent or Guardian's name

First

Last

Parent or Guardian Email

Parent or Guardians Phone

Email

Phone

Emergency contact Name

First

Last

apply) Waiver 18

Emergency contact Phone

Relationship to Emergency contact

Do you have prior rider experience>

How would you describe your riding skill level?

Are you comfortable operating a motorcycle Independently?

Starting, stopping, shifting and balancing?

Have you participated in a track-day session before?

If yes, briefly describe your experience

Which session are you registering for?

Choose your date

Make and Model of motorcycle

Engine size

cc’s

Do you have the required protective gear? (check all that apply)

Waiver & Acknowledgments

I understand that a signed waiver is required before participating
I acknowledge that this is a guided, controlled riding session and NOT a race event.
I agree to follow the instructions of the lead and sweep riders at all times.
I understand that unsafe behavior may result in removal from the session.

Please check all to acknowledge

Do you have any special requests or questions for the organizers?