Course Start Date: *Click to see available dates. Highlighted bold days indicate available start dates (you register for the theory portion of the course).
| Full Name: |
| Pronouns: |
| E-mail: Please ensure this is correct! *Your email will be used to send you a confirmation of your registration along with policy documents. |
| Address: (no special characters other than dash) |
| City: |
| Postal Code: (USA leave blank) |
| Phone (Cell): |
| Phone (Home/Work): |
| Age: (Only used to determine if 18+ and for our demographic database only) |
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Do you have a motorcycle licence?
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| Driver Licence Number: |
| Medical Condition(s): |
| Additional Message *: * Mobile school please include: Which option you prefer for Monday and Gear and t-shirt sizes |
| How did you hear about PRS? |
| Program Fee: (will populate once course is selected above) | |
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Full Amount: $
($ With GST)
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Deposit Amount: $
(Remaining balance due on first day of class)
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