Ladies Only Bronze

Starting on Saturday, 10 May, 2025 8.00am-4.00pm

Presented by Kevin

Please enter your name exactly as it appears on your licence:

First name *

Middle name

Last name*

Preferred Name

Email*

Mobile phone*

Suburb*

Town/City* Please select... Nelson City Tasman District Marlborough District Buller District Other

Postcode*

Date of birth (dd-mm-yyyy)*

Licence Class * Please select... Learner Restricted Full

Gender * Please select... Male Female

NZ Driver Licence Number (NOT registration number) E.g : AB123456

Licence (Class 6) issue date *

Licence Version Number *

International Driver Licence Number (only to be provided if you DO NOT hold a current NZ Class 6 Licence)

Years Riding (numeric only e.g 2.5 = two years and five months)

Bike Type * Please select... Adventure Classic Commuter Cruiser Dual Purpose Electric Naked Scooter/moped Sport Tourer Bike you are providing for me ($100 fee applies)

CC Rating * Please select... 50 100 125 200 225 250 350 450 550 650 750 850 1000 1200 1300 1400 1500 1600 1700 1800 2000+

Motorcycle Crash History? Please select... Yes No

Crash Description

Intended use (commuting, pleasure, touring etc) E.g : (commuting, pleasure, weekend rides, touring etc)

Areas to be improved

Pre-training Assessment (1= beginner) Please select... 1 2 3 4 5 6 7 8 9 10

How did you hear about us?*e.g. (Kevin, Jason, Mitch, radio, google search, friends, AA etc)

Have you previously attended a Ride Forever Course? * Please select... No Yes

Booked By Employer? Please select... No Yes

Company Name