Motorcycle Registration Form

Colombia Moto Adventures Registration Form & Contract Acceptance

IMPORTANT: It is crucial that you fill out this form to activate your medical insurance and accept the terms and conditions of the contact.
Rental Dates

Please provide the exact start and end dates of your motorcycle rental period.
Rental Start Date

DayMonthYear
Date
Rental End Date

DayMonthYear
Date
WhatsApp Number

Communication in Colombia is done via WhatsApp. Please ensure you have WhatsApp downloaded and properly installed on your phone. This app is essential for coordinating taxi pickups and addressing any questions you may have during your trip. If you are traveling with a group, we recommend creating a WhatsApp group for seamless communication among your group members.
WhatsApp Number*

Country CodeArea CodePhone Number
Driver Information

Enter your personal details including full name, address, email, and date of birth. Please also share any important medical information and upload the necessary identification documents.
Driver Name**

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

DayMonthYear
Email*
example@example.com
Passport Number
Medical Information
Allergies, Medications, Medical Conditions

Emergency Contact Information

Provide the name and phone number of a trusted person who we can contact in case of an emergency.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.

Contract and Signature

Please read and accept the terms and conditions below.
Signature*

By signing this document I agree to the terms and conditions of the contract.
Should be Empty:

Colombia Moto Adventures Registration Form & Contract Acceptance