Please read carefully and confirm with your initials that you agree with all of the statements where 0 to 4 characters are required to be entered. Enter the information as requested for the remaining fields where detailed information is requested.
I meet the physical and mental requirements to participate and will come to training rested and ready to learn. I will bring my license with its motorcycle endorsement to the DIRTY FOR GOOD Off-Road Riding Camp.
I will come to the DIRTY FOR GOOD Off-Road Riding Camp with proper riding gear: DOT approved full-face, modular or dual sport/dirt riding helmet; eye protection (goggles or face shield); chest/back protection; elbow/shoulder protection; full-fingered gloves; and a hydration system.
NOTE: Armored, motorcycle specific road gear is acceptable. For Dirt/Dual sport/Adventure specific riding gear, consider going to revzilla.com or cyclegear.com and look at their offerings. We can provide you with other online resources if needed.
I understand that I will pay the registration fee of $800 with a $400 non-refundable (but transferrable) deposit. This will provide me with camping, meals, 5 days of training, a t-shirt, and GPX formatted routes that can be downloaded to a GPS that I bring (if I have one). My final payment of $400 must be made by July 1, 2019.
Training days: (1) closed range training; (2-4) situational trail riding; and (5) self-guided routes.
Please provide us with a summary of your road riding experience. We recommend that you have at least 500 recent riding miles before attending this training.
List any Dirt/Dual Sport or Adventure Motorcycle Training Programs you have participated in in the past three years. Also, share any other dirt riding experiences you have had over the past three years. Entering NONE is fine, it just means you are starting on a grand new adventure!
I understand I must bring a street legal Dual Sport or Adventure bike to training. It can be one that I own, borrow or rent. Bigger is NOT necessarily better for training. A 250cc – 400cc, lightweight dual sport model is
recommended. The motorcycle should be equipped with handguards, skid plate and depending on the
model: engine guards. Additionally, knobby tires (rated 70-80% dirt and 20-30% road will provide the best ride for our
conditions). You must provide a current registration or rental paperwork for the model you bring to the training site.
If you know what bike you will be using, please list it below by giving MAKE, MODEL, and ENGINE SIZE. If you do not know what bike you will be using, enter "DO NOT KNOW".
Provide a list of any PRESCRIPTION medications you take or any acute or chronic medical conditions that you have. This information will be given to medical personnel in the event of a medical emergency. Enter "NONE" if this does not apply to you.
I understand and agree, in addition to my registration fee I MUST raise a minimum of $300.00 for the Dirty for
Good program’s 3 causes. I understand that WMF, Inc. will not use funds raised by riders for its overhead
or operating expenses:
1. 50% to Final Salute, Inc. https://www.finalsaluteinc.org to support homeless or struggling female veterans.
2. 25% to Women's Coalition of Motorcyclists Off-Road Riding Train-the-Female-Trainer scholarship fund.
3. 25% to Women's Motorcyclist Foundation's Youth Scholarship off-road riding training fund for youths 17 & younger.
I understand that both road and off-road riding involves inherent risk. I accept the risks involved and hold
harmless the Women’s Motorcyclist Foundation, Inc., SheAdV, XPLOR Off-Road Vehicle Training, the
American Motorcyclist Foundation, Inc., Rocky Gap State Park & all other co-insureds.
I understand that my individual safety, as well as the safety of every participant, is of the utmost importance.
I agree that the instructors will make the determination as to what riding routes best fit my skills set and will
abide by their decisions and rules. Further, I agree that the organizers, instructors and staff cannot and will not
guarantee my safety. I accept responsibility for my own safety.
I agree to not mix any substances that would interfere with my judgment, vision, physical or mental condition including but not limited to alcohol, over-the-counter or prescription drugs with the riding experience.
I agree to bring any of my concerns, especially concerns revolving around safety, immediately to the event
organizers Gin Shear & Sue Slate.
I understand that, as long as this registration form is, it will be reviewed again and signed again during orientation on August 11, 2019.
I understand and agree to the use of my image in videos or still pictures for the purpose of promoting the
Dirty for Good program, highlighting women in motorcycling and/or supporting the three fundraising
DURING CHECK-IN AND ORIENTATION YOU WILL BE ASKED TO REVIEW AND SIGN THIS DOCUMENT AGAIN ALONG
WITH READING AND SIGNING OTHER WAIVERS OF INDEMNIFICATION.
This field is for validation purposes and should be left unchanged.