Rider’s Edge® New Rider Course Registration Form Fill this form out and hit submit, after registering through Campus Cruiser. And find out why life starts at the edge®.
Please fill in the following information.
Describe yourself:
Date of Birth: (mm/dd/yy) Sex Male Female Height
Driver's license number
Driver's license state
Driver's license expiration date
-- mm/dd/yy
Do you have a learner's permit?
Yes No
Learner's permit expiration date
Do you have a motorcycle endorsement?
Are you a motorcycle owner?
When do you plan to buy a motorcycle?
Less than three months 3 to 12 months More than one year Do not plan to purchase
How interested are you in buying a Harley Davidson® motorcycle?
Very Interested Somewhat interested Not interested
Can you ride a bicycle?
Describe your motorcycle experience.
I have never been on a motorcycle, even as a passenger I have ridden only as a passenger I have ridden an off-road motorcycle only- dirt-bike, trail bike I have ridden a street motorcycle
If you have ridden a street motorcycle, please describe your level of riding experience.
It's been more than five years since I've ridden I have less than six months riding experience I have less than 3,000 miles riding experience I have ridden more than six months or 3,000 miles N/A
Have you taken a beginner motorcycle safety course before?
Yes, Rider's Edge® New Rider Course Yes, state program Yes, other program No
How did you hear about this course?
Newspaper Radio Flyer Magazine Special Event/Promotion Dealership Friend/Family Internet Other
How did you become interested in riding a motorcycle? Check all that apply.
A friend rides My partner/spouse rides My parent(s) ride I've had the desire to ride for a long time Advertising/Promotion Other
Additional Comments:
