3 Wheel Rider Course Registration Form

Submit this form if you want to become part of the 3W Rider Pool.
Riders in the pool are notified when a class is offered.

RidingSafety does not share this information with anyone, and you will not receive emails from RidingSafety except to offer you a class slot.

 Name [Last name, First, initials if desired, Sr, Jr, III, etc] -- this is how your name will appear on your completion card presented at the end of the course. Misprint your name here and it will be misprinted on your card!

Nickname. What should we call you while attending class? We are not formal, so let us use your nickname, or first name, or whatever name you like responding to while in class.

Phone number: (no hyphens 3184561234)

Email address: 

Your 3W motorcycle: The motorcycle you ride during the course must be yours -- owned, registered, and insured by you. No "loaners" allowed.

Make Model Year

3 Wheel experience -- please choose whichever of the following BEST describes your 3 wheel riding experience:
I am a new 3 wheel rider
I have been experimenting on a 3 wheeler
I am a 3 wheel rider, with over 2,000 miles ridden in the last year