Name: Bisset Honda Coaching Day
Start: 2014-10-10T00:00:00+13:00
End: 2014-10-10T23:59:59+13:00
Location: Hawkes Bay MCC

Your Details

Riders Full Name*

Date of Birth*

Parents Name

(if under 16 )

Email Address*

Phone Number*

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The region you are from*

Have you been coached by us in the last 12 months?

Have you been coached by us in the last 12 months?*

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Your Experience

What year did you first start riding? (eg. 2010)

What year did you first start racing? (if applicable)

What is the main type of riding that you do?

Motocross
Trail
Cross-country
Endurance
Supercross
Freestyle

How would you rate your ability?

What type of bike do you ride?

Any Comments

Please tell us if you have any special requirements or if there is anything else you'd like us to know (e.g 1 on 1 preference, start time preference etc).

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Terms and Conditions / Waiver

Indemnity: I irrevocably indemnify Broxy Rider Coaching, Blue Wing Honda, Peter Broxholme, land owners, officials and employees against any and all actions, claims, suits, proceedings, demands, liabilities, damages, payments, losses, costs, injuries and expenses arising from our attendance at this event. They are absolved from any liability arising out of any accidents however caused, resulting in damage and/or personal injury.

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Bisset Honda Coaching Day

10 October 2014

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Your Details

Have you been coached by us in the last 12 months?

Your Experience

Any Comments

Terms and Conditions / Waiver

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