Online Registration Form

Please take a moment to fill out the form.

By checking the box below, you confirmed that you have read, understand and agree to our Terms of Service policy and Privacy & Security Policy. Your IP address will be recorded for security purposes and identify purposes. We reserve the right to refuse the registration if VPN IP is detected.

I agree and accept the Terms and Service Policy *

I agree and accept the Privacy and Security Policy *

Peronsal Information

First Name

Last Name

BC Driver License Number

Learner Expiry Date

Class 6L / 8L Learner License

Upload File

Upload supported file (Max 15MB)

ICBC Student Consent Form

Upload File

Upload supported file (Max 15MB)

Phone

Street Address

Street Address Line 2

City

Postal / Zip code

Region/State/Province

Emergency Contact / Guardian Information

If the student is under the age of 19, a parent or legal guardian must co-sign all required forms, including waivers and all policies. The parent/guardian acknowledges responsibility for the student’s participation in the training and agrees to all terms and conditions outlined.

* Parent/guardian may need to meet at our office for signature

Emergency Contact Person (First / Last Name)

Relationship

Phone

Parent / Guardian's (First / Last Name)

Phone

Pre-Training Survey

How to describe your motorcycle riding experience?

No motorcycle riding experience but can ride bicycle

Had little riding experience

Used to ride but haven't ridden for years

Well experienced

Please click all applied

I went to a Motorcycle School before

My friend (or someone) taught me how to ride

I learned riding by myself

I am riding everyday

I can ride but not very confident

I have off-road dirt bike experience

I have experience with 50cc or under Scooter

I never ride any motorcycle

I can drive a manual transmittion vehicle

How did you find us?

Referred by a friend

Internet Search (e.g. Google)

Social Media (e.g. Facebook, IG)

ewspaper or Magazine

Training Package Selection

Select an option

Smart Rider (10 Hours) Package $750

Master Rider (4 Hours) Package $350

Pro Rider (6 Hours) Package $490

Basic 2 hours training session $180

Note to Instructor (e.g. Your working schedule, preffered training day and time)

MST Date (Burnaby ICBC only)

Time

- Please provide the date and time if you have booked your MST (at Burnaby ICBC)

- We suggest that we booked for you, so that we can guarantee the availability of the school motorcycle.

- Please consult with us before your registered if you want to do your MST at any other locations.

Payment Method

We require a $100 deposit at the time of registration. The tuition fee must be paid on or before the first lesson. All fees paid, except for the security deposit, are non-refundable and non-transferable. Please refer to our Terms of Service Policy for more details.

Select an option

Credit Card (as below)

E-transfer to kamenriderdotca@gmail.com

Cash

When sending an e-transfer, please indicate your full name and DL number in the note. If paid by cash, please email us to arrange an appointment for the payment.

Security Deposit & Credit Card Authorization

A security deposit by credit card is required for registration, even if you choose to pay the package fee by e-Transfer or cash.
If you use a credit card, it will not be charged unless there is damage to the motorcycle or equipment.

Select an option

Visa

Master Card

American Express

JCB / Discover / Others

First Name appears on Credit Card

Card Number

Last Name

Expiry Date (MM/YY)

CVV Code

Billing Street Address

Billing Street Address Line 2

City

Postal / Zip code

Region/State/Province

Billing Phone

Note: The billing address and phone number must be the same as your credit card statement

I agree and authorize KamenRider School to charge the above credit card for the following, if necessary:

Private One-on-One Package fee / Training fee
Deposit at Registration
Any applicable taxes
Additional training fees or any outstanding balances
Security deposit or the final cost of repair/replacement (including parts and labor) for any damage to the school’s motorcycle and/or equipment
Administration fee

By checking the box below, I declare and certify that I am the primary cardholder of the credit card specified above, and I have the legal right to authorize KamenRider School or its employees to incur charges on my behalf. This authorization will automatically expire upon the completion of my registered course, session, Road Test, and/or once I have fully settled all charges, payments, fees, and/or damage costs with KamenRider School

Credit Card Authorization Agreement

Yes, I agree

Your Signature

Select a date

Waiver of Liability

I hereby release KamenRider School, its officers, instructors, and any related agency sponsoring KamenRider School from all responsibility for property damage, bodily injury, liability, costs, expenses, and claims of every nature and kind, however arising, as a result of my participation or behavior in any of the training courses, sessions, or lessons conducted by KamenRider School or its instructors. I also agree to hold harmless KamenRider School, its officers, instructors, and any sponsoring agency from all claims and rights of action that may arise through my participation in any training session. I acknowledge the risks involved in learning to ride a motorcycle or scooter, including the possibility of injury.

I have read, understand, and agree to all terms and conditions outlined in the Terms of Service Policy and the Privacy & Security Policy. I certify that I am over 19 years of age and am signing the above liability release of my own free will. (If you are under the age of 19, your parent or legal guardian must sign on your behalf before the course begins.)

Waiver of Liability Agreement

Yes, I agree

Your Signature

Select a date

Confirmation: Your registration is submitted.