(000) 000-0000 - Phone # to get texts and phone calls; if none, write "NONE"; >>> IF YOU ARE REGISTERING FOR MORE PEOPLE THAN JUST YOURSELF, this phone number (as well as the phone number earlier in this registration) MUST BE UNIQUE across all registrations submitted <<<

• Driver's License #. Dashes optional. Double-check to ensure accuracy as this is how PROMCT notifies the DMV of your successful passing of your course.

Date of Birth: mm/dd/yyyy (*** REQUIRED FORMAT ***)

Select the option that best applies to you; e.g., if 15 yr 9 mo, select "< 16"; if 16, select "< 18"

This information is required for reporting to the WMSP (WI Motorcycle Safety Program)

Select your level of motorcycle/scooter riding experience that most closely matches

Select the state in which you are planning to get your "M" endorsement; if other than WI, verify your state accepts a WI MSF waiver, not all do. Go to the link at the end of this comment to see the restrictions for your state (page 7, column 5). | https://msf-usa.org/wp-content/uploads/2023/04/State-Motorcycle-Operator-Licensing-CSI-2022.pdf

If in the Military or Emergency services, provide your Military ID / Branch / Status or Emergency service vocation above. PROMCT appreciates your service. FOR BRC1 & BRC2 COURSE ONLY ... use one of the following discount codes at checkout time: > BRC1 class... "BRC1MIL100D" (military) or "BRC1EMSRV100D" (emergency services) > BRC2 class: "BRC2MIL65D" (military) or "BRC2EMS65D" (emergency services); Proof of membership REQUIRED to show to Instructor (DD214, service ID, etc).

Please provide comments or a description of any special considerations the training company and/or instructor(s) should be aware of that may impact your experience in this course. If none, write "None". PROMCT wants to ensure we have the proper skills and equipment to meet your needs. Examples might include: any physical limitations, health issues, short/tall height extremes, etc.

PROMCT Policies, Terms & Conditions can be found HERE

By selecting "YES", you agree to receive class/course related text messages from PRO Motorcycle Training at the provided number. Message frequency varies. Message and data rates may apply. Reply HELP for help. Reply STOP to cancel. View our Privacy & Terms HERE

BRC1 riders ... All PRO Training bikes/scooters are <500cc. Student can ride their own bike of any cc amount; however, the larger the bike, the more difficulty student may have completing the course. if wanting to ride a large-cc bike, signing up for a BRC2 class is suggested. FOR ANY STUDENT BIKE, ANY EXHAUST SOUND LEVELS MUST BE STOCK LEVEL; excessive noise produces a negative learning experience for all students. If riding your own bike, note there are additional paperwork requirements per pre-course activities defined in your registration confirmation email.

If you signed up for this class based on a specific Rider Coach, indicate "YES - Xxxx", where "Xxxx" is the Rider Coach name

Please provide a brief description of your reason/goals for taking the course. If none write "None"; or example might include, "get waiver for M license endorsement", or "see if riding is for me", or "enhance my skills", or etc.

Indicate whether you understand there is course prework to be completed prior to the range portion of the class.