BRC Data Card

Filling out this simple form makes it possible to present you with your ARC Completion Card upon successfully finishing the Course (if filled out at least a week before class). (Failure to submit data card results in snail mail delivery of your Completion Card
usually 4 weeks after graduation)

BRC Data Card

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 RiderCoaxhes to call you.

Email *

Email addresses are never shared or distributed to anyone.

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

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