E.W. Motocross School signup and information sheet.

 

Name:______________________      Address:______________________________ 

 

Age:_______                          

                                                 City, state, zip: ______________________________

 

 

Phone number:__________________               E-Mail:________________________           

 

                                     

School date:__________

 

 

Bike size:_____            Make:_______     Model:_____________

 

 

Years of riding experience:________      Birth date­­:__________

 

Are you an OPMC member? Yes 

                                              No 

 

How did you hear about the school?

q       EW MX school website

q       Friend ­­_____________

q       Bike Shop: What shop?_____________                                             

q       Other ____________

 

Send to:

Eric Waunch

16821 35th Ave SE

Bothell, WA. 98012