NEW YEAR MX SCHOOL @ REDSAND - 28 December 2025

Rider's Name*

First NameLast Name

Birth Date*

MonthDayYear

Bike size / cc*

eg 85 / 125 / 250

Rider level

Beginner (must have been riding for over 12 months to attend)IntermediateAdvanced / RacingPro Level Racing eg European

Gender*

MaleFemale

Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

Parent/Guardian Information (if rider is under 18)

Name

First NameLast Name

Telephone number

E-mail*

example@example.com

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Telephone number

Does the athlete have any injuries, chronic illness, or medical conditions? If yes, please describe.

Your Accommodation for the school

I would like more information on staying with the group at the Redsand HotelArranging my own accommodationI don't know yet

If under 18, the rider must attend with a responsible parent/guardian/mechanic.*

Agreed

Informed Consent and Acknowledgement

I hereby give my approval for myself / my child’s participation in any and all activities prepared by Brian Jorgensen MX School during the selected training day. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Brian Jorgensen MX School and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected training sessions.

In case of injury to myself or said child, I hereby waive all claims against Brian Jorgensen MX School including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all motorsport activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization

Permission is granted to Brian Jorgensen MX School and its affiliates including Brian Jorgensen (First aid Qualified), Directors, Coaches and Track Assistants to provide any required emergency treatment prior to the riders admission to any medical facility.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances.

Cancellations

Cancellations can be made if the rider sustains an injury before the school begins and is not able to participate. The rider will be able to reschedule for another training school or training days equivalent to the same monetary value within a 12 month period from the starting date of the enrolled MX School. Refunds are not possible. You should ensure that you have adequate insurance to cover your trip or any cancellations.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Services / Payment*

FULL PAYMENT - 1 rider place - Brian Jorgensen MX School @ REDSAND - 28th December 2025 - 03 January 2026Includes 1 rider place for participation in Brian Jorgensen MX School @ Redsand. *Accommodation and track fees not included. *Not refundable for cancellation, however the total can be transferred to any other training days, MX schools or Online Coaching Program within 12 months.

£550.00 Quantity

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Total

£0.00

Signature

Brian Jorgensen MX School

Rider Information

Cancellations