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Abilene Safety Instruction |
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Abilene Area's Motorcycle Training |

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Abilene Safety Instruction Registration Form
____BasicRider Course..………...$190.00………….Dates (from School)_______________________
____Experienced Rider Course….$80.00…………..Date (from school)________________________
Obtain date from school, (325-672-3484), fill in & MAIL THIS FORM WITH PAYMENT to:
Abilene Safety Instruction 113 CR 584 Abilene, TX 79606
-OR- Bring to the school, 6750 US 277 South of Abilene. S 14th St toward San Angelo, just outside Abilene city limits on right side, just past fireworks stands.
THE ENTIRE COURSE IS HELD AT THE NEW FACILITY AT 6750 US 277 S, ABILENE TX
1. There are occasionally “no-shows” for class. If you are there at class start time, your in! 2. Full Payment is due 7 days prior to class start date. Payment used for credit towards an upcoming class if the student cancels prior to 96 hours prior to the class time. If student fails to give 96 hours notice, no shows, or does not complete class for any reason, a refund will not be issued. 3. Please note: fees are subject to change without notice. MINORS: Students under the age of 18 must complete a liability waiver and medical consent waiver co-signed by a parent or legal guardian.
Student Name:_____________________________________________________AGE:________
Phone Numbers/Times to contact:__________________________________________________
Address:_______________________________________________________________________
Signature/(parent/guardian also, if under 18)________________________________________
_______________________________________________________________________________ Signature indicates you have read, understand, and agree to the payment/refund policy. Please return this form with payment to the address above. |