Booking Form



Note - If you do not see a suitable date below just give us a ring on   021 710 792 to see if we can make an alternative arrangement. * = Required field

A separate booking is required for each person attending a course


  CourseConfident Rider / Back to Biking
*Date/Venue/Price
Make sure you have selected the correct course and venue!

*Title
*First & middle name(s)  (as it appears on your licence)
*Surname  (as it appears on your licence)
*Date of Birth
*Street
*Area
*Town
*Home Phone No.
  Mobile Phone No.
*Email Address

*Driver Licence Number

*Motorcycle
 Experience 
I have little or no experience of motorcycle riding   
I have ridden motorcycles a few times   
I ride or have ridden motorcycles on a regular basis

*Scooter
 Experience 
I have little or no experience of scooter riding   
I have ridden scooters a few times   
I ride or have ridden scooters on a regular basis

*Payment
 Options 
I would like to pay by VISA    
I would like to pay by MASTERCARD   
I would like to pay by gift voucher

Note: all courses must be pre-paid.
Contact us before booking if you wish to pay by direct bank transfer. We are no longer able to offer a cash payment option


  Additional
  Information

(Max. 240 characters)
Please read the Terms and Conditions before booking
*I would like to be emailed from time to time with details of group rides and discounted training promotions on offer from Riderskills™


021 710 792
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