WSMX "Good Technique Knows NO Gender"                                        Back to Home Page

FORMS BELOW:

Yes, please sign me up for a One Day WSMX School!

 

 

Name _____________________________________________________________  

 

Address ___________________________________________________________

 

City ______________________________    State _______    Zip ____________

 

Phone # ___________________________  Gender ____ Age of student _____

 

Fax ______________________  Email __________________________________

 

School date requested _________________  Location (please circle one) California   Illinios   Texas   Washington  Colorado   Nevada   Other-_____________________

 

Lesson Type:  Private    Lesson Length (Please Circle One)  Full Day $300 (6 Hours)   Half Day $150 (3 hours)   Hourly $60   

 

Lesson Type:  Group       Lesson Length (Please Circle One)  Full Day $200 (6 Hours)   Half Day $100 (3 hours)   Hourly $60

 

Type of School desired (please circle one) Motocross     Cross Country       Off-Road/Desert      Learn to Ride 

 

Skill Level/Experience ____________________________

 

WSMX Discount Program: Offers may not be combined

 

_____ I am eligible for the Family Member or Returning Student Discount of $50.00 per day off the balance of the school fee.   

Last School Attended (Date and Location) __________________________

 

 

______ I am eligible for the special offer of $100.00 off the balance of the school fee because ________________________ will be attending

the school with me as a NEW full paying Student.  I understand he/she must pre-register and attend the school or I will lose the discount.

 

Rental Equipment If Needed-$75 Rental fee per day -(please input sizes needed for desired items)    

 

Pant____ Jersey____ Gloves____   Helmet_____  Goggles-OTG or Std _______  Motorcycle Size ________   Height ______ Weight _______

 

Amount remitted $_____________    Balance Due _________________

 

PLEASE MAKE CHECKS PAYABLE TO: Debbie Matthews

26001 Corriente Ln. Mission Viejo, CA 92691

Gate fees extra.  Must sign a release form and pay fees prior to start of school. Rider and crew participates at own risk.  Rider has the option at anytime to withdraw from school for any reason.  Rider acknowledges the WSMX is not obligated to provide refunds.  Rider agrees to hold harmless school, agents, instructor or track and personnel and covenants not to sue.  Rider agrees to abide all rules and follow instructions given.

Rider Signature __________________________________ Date ____________

Parent/Guardian Signature _______________________ Date ____________

Drivers License Number of Consenting Parent or Guardian______________

Notary Signature (required if parent of child under 18 not present) 

 

Signature: ____________________________________ Date ___________ SEAL

Disclaimer - School cancellations are unusual, but may occur.  Schools can be rescheduled if less then six people sign up for a scheduled class, or if it rains.   We will do our best to notify you prior to the school if these conditions apply.  School credit will be applied to the next class.  Refunds are at the discretion of WSMX Management and subject to approval prior to the original event date.  

 

PLEASE REMIT TO: 

WSMX-Debbie Matthews
26001 Corriente Ln.
Mission Viejo, CA 92691
Call 949.338.0602  

Back to WSMX Main

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Yes, please sign me up for a TWO Day WSMX School!

 

 

Name _____________________________________________________________  

 

Address ___________________________________________________________

 

City ______________________________    State _______    Zip ____________

 

Phone # ___________________________  Gender ____ Age of student _____

 

Fax ______________________  Email __________________________________

 

School date requested _________________  Location (please circle one) California   Illinios   Texas   Washington  Colorado   Nevada   Other-_____________________

 

Lesson Type:  Private    Lesson Length (Please Circle One)  Full Day $300 (6 Hours)   Half Day $150 (3 hours)   Hourly $60   

 

Lesson Type:  Group       Lesson Length (Please Circle One)  Full Day $200 (6 Hours)   Half Day $100 (3 hours)   Hourly $60

 

Type of School desired (please circle one) Motocross     Cross Country       Off-Road/Desert      Learn to Ride 

 

Skill Level/Experience ____________________________

 

WSMX Discount Program: Offers may not be combined

 

_____ I am eligible for the Family Member or Returning Student Discount of $50.00 per day off the balance of the school fee.   

Last School Attended (Date and Location) __________________________

 

______ I am eligible for the special offer of $100.00 off the balance of the school fee because ________________________ will be attending

the school with me as a NEW full paying Student.  I understand he/she must pre-register and attend the school or I will lose the discount.

 

Rental Equipment If Needed-$75 Rental fee per day -(please input sizes needed for desired items)    

 

Pant____ Jersey____ Gloves____   Helmet_____  Goggles-OTG or Std _______  Motorcycle Size ________   Height ______ Weight _______

 

Amount remitted $_____________ Balance Due $_____________ Skill Level/Experience ___________

 

PLEASE MAKE CHECKS PAYABLE TO: Debbie Matthews

26001 Corriente Ln. Mission Viejo, CA 92691

Gate fees extra.  Must sign a release form and pay fees prior to start of school. Rider and crew participates at own risk.  Rider has the option at anytime to withdraw from school for any reason.  Rider acknowledges the WSMX is not obligated to provide refunds.  Rider agrees to hold harmless school, agents, instructor or track and personnel and covenants not to sue.  Rider agrees to abide all rules and follow instructions given.

 

Rider Signature __________________________________ Date ____________

Parent/Guardian Signature _______________________ Date ____________

Drivers License Number of Consenting Parent or Guardian______________

Notary Signature (required if parent of child under 18 not present) 

 

Signature: ____________________________________ Date ___________ SEAL

Disclaimer - School cancellations are unusual, but may occur.  Schools can be rescheduled if less then six people sign up for a scheduled class, or if it rains.   We will do our best to notify you prior to the school if these conditions apply.  School credit will be applied to the next class.  Refunds are at the discretion of WSMX Management and subject to approval prior to the original event date.  

 

PLEASE REMIT TO: 

WSMX-Debbie Matthews
26001 Corriente Ln.
Mission Viejo, CA 92691
Call 949.338-0602 

Back to WSMX Main

--------------------------------------------------------------------------------------------------------

 

 WSMX BOOT CAMP TRAINING REGISTRATION

 

Name ___________________________________________________________________  

Address __________________________________________________________________

City _________________________________    State ____________    Zip _____________

Phone # _______________________________   Gender _______ Age of student _______

Email ______________________________________   Skill Level/Experience __________

In Case of Emergency notify: __________________________ Phone_________________

School Date requested: ____________________ Location: _________________________

 

_____ I wish to attend Both Days-Class Fee-$400.00            Minimum Deposit $200.00

_____ I wish to attend One Day Only-Class Fee-$200.00      Minimum Deposit $100.00

**Payment Plan Available-Please contact us for Details

_____ I am eligible for the Family Member or Returning Student Discount of $50.00 per day off the balance of the school fee.   Last School Attended __________________________

 

_____ I am eligible for the special offer of $100.00 off the balance of the school fee because ___________________ will be attending the school with me as a NEW full paying Student.  I understand he/she must pre-register and attend the school or I will lose the discount.

*Discount offers may not be combined.  You may utilize one or the other upon qualification
 

Rental Equipment (If Needed) Extra $75.00 a day fee applies:    Please list sizes and equipment needed below:

Pant___ Jersey___ Gloves___ Helmet___ Gloves ___ Goggles___(Std or OTG)

 

Bike Rental If Needed:  Please enter Rider:  Height _____  Weight _____

Payment Options for the camp: 

_______ I have enclosed the total payment for the camp 

_______ I have enclosed a 50 % deposit for the camp

_______ Other Arrangements (Pre-Approved By WSMX)

With this deposit of $ _________ , please reserve a space for me at the camp.  I promise to pay the balance due before start of camp or my deposit and reservation is forfeited.  No exceptions

Note: If I am unable to attend the camp, and with the determination of each individual case made by the WSMX, CEO, I understand that up to $ 300.00 of my registration may be returned.  I also understand that WSMX will retain $100.00 of the total amount required for the camp to cover cancellation costs, and will not be returned.

 

Payment  (please circle one)    Cash       Check       Money Order     Pay Pal   Amount remitted __________

 

 

Signature of Applicant______________________________________

 

To Be completed by WSMX Staff:   Amount Paid $_______ Balance Due $_______ Discount Applied  $ ______ Initials ____  Date Recv_____

 

 

Gate fees extra.  Must sign a release form and pay fees prior to start of school. Rider and crew participate at own risk.  Rider has the option at anytime to withdraw from school for any reason.  Rider acknowledges the WSMX is not obligated to provide refunds.  Rider agrees to hold harmless school, agents, instructor or track and personnel and covenants not to sue.  Rider agrees to abide all rules and follow instructions given.

 

Rider Signature ___________________________________ Date ______________

Parent/Guardian Signature __________________________ Date _____________

Drivers License Number of Consenting Parent or Guardian _________________

Notary Signature (required if student under 18 w/o parent attending)

Notary Signature_____________________________________________________

Date _____________________

Seal

PLEASE REMIT TO:

 

Debbie Matthews

 

26001 Corriente Ln.

 

Mission Viejo, CA 92691

 

 

Back to WSMX Main