online Registration form
By checking the box below, you confirmed that you have read, understand and agree to our
Yes, I agree.
Indicates required field
Name (as it appears on your learner license)
Contat Phone Number
Another Contact Number
If you do not have your learner license yet, please send to us as soon as possible.
Your Motorcycle Riding Experience
No motorcycle experience at all
Had little riding experience
Had previous experience but haven't ride for a long time
PACKAGE & PAYMENT METHOD
2 hours Regular One-on-One Training ($140.00)
10 hours One-on-One Motorcycle Training Package ($500.00)
4 hours One-on-One Motorcycle Training Package ($240.00)
8 hours One-on-One Sportbike Training Package ($500.00)
4 hours One-on-One Sportbike Training Package ($280.00)
4 hours One-on-One Scooter Training Package ($240.00)
Discount Code / Gift Certificate Number (if any)
CREDIT CARD AUTHORIZATION
Unless you are using your credit card for payment, your credit card will not be charged and will only be used as security deposit only.
Credit Card Type
JCB / Discover / Others
Name (as it appears on credit card)
Credit Card Number
Expiration Date (MM/YY)
By checking the box below, I declare and certify that I am the primary cardholder on the credit card specified above, giving legal rights to authorize KamenRider School or its employee to incur charges on my behalf. This authorization will automatically expire after the conclusion of my training package, or when I was completely settled all charges, payment, fees and/or damage cost with KamenRider School.
I agree and authorize KamenRider School to charge the above credit card for the followings (if necessary):
1) Training package deposit
2) Training package payment or any outstanding training fees
3) Security deposit or final amount of repair/replacement cost (including parts & labour) of our school motorcycle and/or equipment.
4) NO SHOW or CANCELLATION charges without 48 hours prior notice (plus $50 administration fee)
Credit Card Authorization
Yes, I agree.
WAIVER OF LIABILITY
I hereby release KamenRider School, and it’s officers, instructors and any related agency, which is sponsoring KamenRider School, from all responsibility of property damage, bodily injury, liability, cost and expenses and claims of every nature and kind however arising from or in consequence of such students participation or behavior in any of the training courses/sessions/lessons conducted by KamenRider School or it’s instructors, and do agree to save harmless the KamenRider School, it’s offers, instructors and any agency sponsoring KamenRider School, from all claims and rights of action which may arise through my participation in any training session. I am also aware of the fact that in learning to ride a motorcycle/scooter there is risk of injury to myself.
I have read, understand and agree all terms and conditions under company policy and waiver of liability, and am over 19 years of age and I am signing the above liability release freely of my own will.
(If you're under age of 19, your parent or legal guardian will need to sign again on your behalf at the first training session)
Waiver of Liability
Yes, I agree.
NOTE: Your IP address will be recorded for security purposes.
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