Learn to Ride Motorcycles - Christines' Kickstart Series
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Private Course Appointment Sign-Up

Please note that one of the prerequisites for taking private lessons is to purchase and watch the Christine's Kickstart DVD and Range Guide. If you do not have it, you can purhase it on the lesson payment page or the order page.

To sign-up for a private lesson please fill out the form below.
* - indicates required fields.

Course Name: *
First & Last Name: *
Title:
Organization:
Street Address: *
City: *
State / Province: *
Postal Code: *
Country:
Work Phone:
Home Phone: *
FAX:
E-mail: *
URL:
How did you hear about the course?

The Following is REQUIRED to make an Appointment
Motorcycle or Car License/Permit #: *
Date of Birth (m/d/y): *

Tell us more about yourself:

Sex Male Female
Height
Weight
Physical Build Small Average Large
Physical Challenges Yes No
Please Describe
Current Motorcycle License? Yes No
Do you own a bike? Yes No
(If so what kind?)
Previous Riding Experience? Yes No
If so please describe your Experience
How many years riding? 1-5 6-10 10+
Ever take a Motorcycle Rider Course? Yes No
If so, Where and When?
Need Motorcycle Gear? Yes No
Type of riding
Additional Comments:
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