MOTO PILOT ACADEMY

MOTO PILOT ACADEMY

SUMMER 2026: 4-DAY YOUTH MOTO RACE CAMP ENROLLMENT
MOTO PILOT NAME

First NameLast Name
MOTO PILOT AGE (7-17)
MOTO RIDING EXPERIENCE
ENGLISH LEVEL
PARENT/GUARDIAN NAME

First NameLast Name
PARENT/GUARDIAN PHONE
PARENT/GUARDIAN EMAIL
example@example.com
EMERGENCY CONTACT (IF SAME AS PARENT/GUARDIAN LEAVE BLANK)

First NameLast Name
EMERGENCY CONTACT PHONE (IF SAME AS PARENT/GUARDIAN LEAVE BLANK)
MEDICAL CONDITIONS OR PRESCRIBED MEDICATIONS? IF YES, PLEASE LIST AND EXPLAIN. IF NONE, ANSWER "NO"
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

4-DAY YOUTH MOTO RACE CAMP DATES

PLEASE SELECT YOUR CAMP(S). MULTIPLE SELECTIONS ALLOWED.
MOTO PILOT ACADEMY 4-DAY YOUTH MOTO RACE CAMPS - JULY 2026
MOTO PILOT ACADEMY 4-DAY YOUTH MOTO RACE CAMPS - AUGUST 2026

MOTO & PROTECTIVE GEAR INFO

THIS INFO HELPS US STREAMLINE DAY 1 AND GET ON-TRACK QUICKER .
MOTO PILOT EXPERIENCE OPERATING MANUAL CLUTCH
DO YOU PLAN TO RIDE YOUR OWN MOTO?
IF YOU DECIDE TO RIDE YOUR OWN MOTO DO YOU UNDERSTAND AND AGREE THAT IT MUST NOT EXCEED 600cc AND THAT YOU ASSUME ALL RESPONSIBILITY & LIABILITY ASSOCIATED WITH OPERATING YOUR MOTO DURING OUR CAMP(S)? PLEASE CLICK BELOW EVEN IF YOU REPLIED "NO" TO PREVIOUS QUESTION.
DO YOU PLAN TO WEAR YOUR OWN PROTECTIVE GEAR AT OUR CAMP?
IF YOU DECIDE TO WEAR YOUR OWN PROTECTIVE GEAR DO YOU UNDERSTAND AND AGREE THAT YOU MUST WEAR FULL LEATHER RACE SUIT, INTEGRATED HELMET, RACE GLOVES, RACE BOOTS AND KNEE SLIDERS IN ORDER TO ACCESS THE TRACK & PARTICIPATE IN OUR CAMP, AND THAT YOU ASSUME ALL RESPONSIBILITY & LIABILITY ASSOCIATED WITH WEARING YOUR OWN PROTECTIVE GEAR DURING OUR CAMP(S)? PLEASE CLICK BELOW EVEN IF YOU REPLIED "NO" TO PREVIOUS QUESTION.
IF YOU KNOW, PLEASE LIST YOUR SIZES (in or cm): 1. HELMET, 2. LEATHER SUIT, 3. RACE GLOVES, 4. RACE BOOTS. IF UNSURE, ANSWER "NO"
MOTO PILOT HEIGHT (in or cm)
MOTO PILOT WEIGHT (lb or kg)
MOTO PILOT INSEAM (in or cm)
MOTO PILOT HEAD CIRCUMFERENCE (in or cm); MEASURE JUST ABOVE EYEBROWS AROUND SKULL
MOTO PILOT ARM LENGTH (in or cm); MEASURE FROM SHOULDER NOTCH TO WRIST
MOTO PILOT HAND CIRCUMFERENCE (in or cm); MEASURE AROUND THE MIDDLE OF HAND
MOTO PILOT SHOE SIZE (UK, EU or US)
MOTO PILOT T-SHIRT SIZE

PAYMENT & ENROLLMENT CONFIRMATION

LAST PAGE!
PAYMENT, CANCELLATIONS & REFUNDS

CANCELLATIONS 60 OR MORE DAYS IN ADVANCE RECEIVE FULL REFUND. CANCELLATIONS UP TO 45 DAYS BEFORE SELECTED CAMP START DATE ELIGIBLE FOR 50% REFUND. CANCELLATIONS LESS THAN 45 DAYS NON-REFUNDABLE. FULL PAYMENT DUE 30 DAYS IN ADVANCE OF CAMP START DATE OR IMMEDIATELY UPON ENROLLMENT FORM SUBMISSION IF WITHIN THE 30 DAY PERIOD. IF AN EMERGENCY CANCELLATION IS REQUIRED WITHIN THE NON-REFUNDABLE PERIOD WE WILL WORK WITH YOU AND PROVIDE A RESERVED SPOT FOR FUTURE AVAILABLE CAMP DATE(S) OR AGREED TRAINING DATES IN THE SAME OR FOLLOWING CALENDAR YEAR.
PAYMENT VIA IBAN TRANSFER: CH 08 0900 0000 1687 0 1335

PAYABLE TO: MOTO PILOT LLC
BIC/SWIFT: POFICHBEXXX

POSTFINANCE AG, Mingerstrasse 20, 3030-BERN (CLEARING #, CH clients only: 0900)
I AGREE TO THE PAYMENT TERMS AND WILL SHOW UP, GEAR UP, HIGH-FIVE AND RIDE UPON CONFIRMATION OF COMPLETED IBAN TRANSFER.
Should be Empty:

4-DAY YOUTH MOTO RACE CAMP DATES