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Online Registration

   
Contact Information:
First Name:
Last Name:
E-Mail Address:
Mailing Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Do you have a valid driver's license or learner's permit?
  Yes No
Have you attended Cowley College?
 

Current Student
Previous Student
Never Attended

Are you a motorcycle owner?
  Current
Previous
Never
Previous motorcycle experience:
  Never been on a motorcycle
Passenger only
Driven off-road motorcycle only
Driven a street motorcycle
How did you hear about this course? (Check all that apply)
  Newspaper
Radio
Poster
Internet
Family/Friend
Classes schedule preference for Basic RiderCourse:
  1st choice:
  2nd choice:
  3rd choice:
Classes schedule preference for Experienced RiderCourse:
  1st choice:
  2nd choice:
  3rd choice:
Classes schedule preference for Additional RiderCourses:
  Group Riding Seasoned Rider
  Intersections
Comments:
 

For the Basic RiderCourse and Experienced RiderCourse, by clicking the submit button, I agree and understand that I MUST provide appropriate clothing required for this course. I agree and understand that I MUST complete this course in it's entirety. If I miss any segments of the course (this includes being tardy), I will not be able to continue and I will have to register and pay for a new class to receive a certificate.

To finish the registration process, bring your valid driver's license to the Admissions office to complete the required state driver education form.

 

 

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