BRC Data Card – RidingSafety.com

BRC Data Card

Filling out this simple form makes it possible to present you with your
MSF Completion Card upon successfully finishing
the Basic Rider Course (if filled out at least a week before class).

Failure to submit this form could result in snail-mail delivery
of your Completion Card a couple weeks after graduation!

Name -- Last, First, Middle Initial (if initial desired) *

This is how your name will appear on your MSF Completion Card. [Be advised your Completion Card name should match your driver license name -- some Cards have been rejected at the Motor Vehicle Department because of name disparity.] Please put you name in the following order: Last, First Middle Initial if desired (example: Jones, Michael T.)

What name we should call you: *

This is what you want us to call you during your training. Use a nickname, first name, last name -- whatever you want your fellow riders and RiderCoaches to call you.

Email *

Email addresses are never shared or distributed to anyone. MILITARY?-We need the Military email

Start date (mm/dd) *

Please provide the date of class you registered and received confirmation you are in.

Gender *

Female
Male
Prefer not to say

Asked solely to keep groups gender-balanced. (Most names are gender specific, but some are not -- Casey, Addison, Ryan, or Leslie -- works best to ask and confirm.)

Choose whichever of the following BEST describes your riding experience: *

I am a new rider
I was a rider, just have not ridden recently
I am a rider, with over 2,000 miles ridden in the last year