DBS Enrollment Form

The Mathews Harley-Davidson Family is pleased to offer Motorcycle Safety Foundation curriculum to the greater Fresno community and beyond! Whether your preference is on asphalt, or on dirt, our premier training facility was developed for riders & enthusiasts of all ages to learn and sharpen skills in a private, closed course, training environment.

The MSF DirtBike School is held at the Mathews Motorcycle Training Facility located at 1516 W. Dan Ronquillo Dr. Fresno, CA 93706 -- just 3 miles west of the dealership.

Mathews Harley-Davidson is open Tuesday thru Saturday from 9am to 5pm and available to support your motorcycle training needs. Located at the same address since 1961, you can't help but notice our new construction of the showroom and museum (est. 2012) as you near the Blackstone/Abby Street exit along the 180 Freeway! For questions or conerns, feel free to stop by the dealership, call, or text us at (559)233-5279
• Class Is Approximately 5 Hours •

Riding Gear, Dirt Bike, & Light Snacks Provided
Today's Date

MonthDayYear
Date
If you intend to take class with another participant, please enter their name(s). If none, enter N/A:
Student Identity and Contact Information

Each participant must register individually
Name

First NameLast Name
Email Address
example@example.com
Primary Phone Number
Format: (000) 000-0000.
Driver's License or Identification Number
If none - enter NONE
Gender
Date of Birth

MonthDayYear
Age
If under 18, student MUST bring parent/guardian to first range session to sign consent forms, IN PERSON, with a Mathews Representative as witness.
Students are fitted from head to toe with safe riding gear which include helmets, goggles, gloves, jersey, riding pants, & riding boots -- FOR FREE!

Riding gear is available for purchase before your class at Mathews Harley-Davidson. If you borrow gear during your course, you'll also have the opportunity to purchase it afterward at a discounted price. Donations are always appreciated and help us maintain a supply of loaner gear so future students can ride without the upfront expense. If our gear helped make your experience a success, your support helps us continue paying it forward.
Approximate Shoe Size
Approximate Weight
We understand weight can be a sensitive topic; however, this information helps us assemble the ideal fleet of dirt bikes for your class and ensure the best fit for each student.
Approximate Height
Mailing Address

Address

Street Address Line 2

CityState

Zip Code
The Mathews Harley-Davidson Family is pleased to offer MSF curriculum at the Mathews Motorcycle Training Facility. Please share how you found out about our course offerings.

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Important Details To Be Aware Of Prior To Completing Registration
General Release, Waiver, & Indemnification Agreement
SAFETY COURSE -- GENERAL RELEASE, WAIVER & INDEMNIFICATION AGREEMENT rev. 01/22

In consideration for the Motorcycle Safety Foundation, Inc. (“MSF”), the entity sponsoring the training, the owner of the training motorcycle, Mathews Harley-Davidson, and the owners of the premises upon which training occurs, including each of their affiliates, subsidiaries, members, employees, officers, coaches, instructors, aides, and/or agents (collectively, the “Released Parties”), permitting the undersigned to participate in this Safety Education and Training Course (the “Course”), I, the undersigned Participant, agree to all of the following:

Participation in the Course requires physical stamina, motor coordination, and mental alertness. I hereby attest that I have no known physical or mental limitations and have not used any form of alcohol, or prescription or non-prescription drugs that could impair my performance in the Course. Participants under 18 years of age must have this form signed by a parent/guardian in person at the training location, or the parent/guardian may sign without appearing in person, in which case this form must be NOTARIZED.

I fully understand and acknowledge that (a) this Agreement is intended to be as broad and inclusive as permitted by the laws of the State in which the Course is conducted; (b) I have been advised of and agree to waive, on behalf of myself, my personal representatives and my heirs, all rights and benefits flowing from any state statute that would otherwise limit the scope of this Agreement or the undertakings and releases contained herein; (c) if any portion of this Agreement is held invalid or legally unenforceable, then the balance shall, notwithstanding, continue in full force and legal effect; and (d) I have had the opportunity to read this entire Agreement and ask any questions about it, and I fully understand its terms and meaning.

READ CAREFULLY: THIS IS A GENERAL RELEASE, WAIVER, ASSUMPTION OF RISK & COVENANT NOT TO SUE

I fully understand and agree that: (a) there are DANGERS AND RISKS OF INJURY, DAMAGE, OR DEATH that exist in my participation in the Course, and in my use of motorcycles and motorcycling equipment (“Motorcycling Activities”); (b) my participation in the Course and Motorcycling Activities may result in injury or illness including, but not limited to, BODILY INJURY, DISEASE, STRAINS, FRACTURES, PARTIAL OR TOTAL PARALYSIS, OTHER AILMENTS THAT COULD CAUSE SERIOUS DISABILITY, AND DEATH; (c) these risks and dangers may be caused by negligence of Released Parties, other Course participants, or others, and may arise from foreseeable or unforeseeable causes; and (d) by participating in the Course and Motorcycling Activities, I, on behalf of myself, my personal representatives and my heirs, hereby knowingly and voluntarily assume all risks and all responsibility, and agree to release the Released Parties for any injuries, losses and/or damages, including those caused solely or in part by negligence of the Released Parties or any other person. If I have brought a motorcycle or helmet to use in the Course, I also agree that this release applies to any damage that occurs to or from my motorcycle or helmet during the Course. 

I fully understand and agree that, on behalf of myself, my personal representatives and my heirs, I hereby covenant not to sue, and am relinquishing any and all rights I now have or may have in the future to sue the Released Parties for any and all injury, damage, or death, whether known or unknown, that I may suffer arising from the Course or Motorcycling Activities, including claims based on the Released Parties’ negligence. 

READ CAREFULLY: THIS IS AN INDEMNIFICATION AND HOLD HARMLESS AGREEMENT

I, on behalf of myself, my personal representatives and my heirs, agree to hold harmless, defend, and indemnify the Released Parties from any and all claims, suits, or causes of action by any third parties, including Released Parties or other Course participants, for bodily injury, property damage, or other damages that may arise out of my participation in the Course or Motorcycle Activities, including claims arising from the negligence of Released Parties, other Course participants, or any other party.

BY CLICKING ON THE “I ACCEPT” BUTTON AND TYPING MY NAME IN THE SPACE PROVIDED BELOW, I AGREE TO ALL THE FOLLOWING:

I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS WAIVER AND GENERAL RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE. 

I AGREE TO ACCEPT LEGAL RESPONSIBILITY AND PAY FOR ANY LOSS FOR CLAIMS OR LAWSUITS AGAINST THE ABOVE-NAMED RELEASED PARTIES ARISING FROM MY PARTICIPATION IN THE COURSE. 

I AGREE TO ASSUME ALL RISKS AND RELEASE THE ABOVE-NAMED RELEASED PARTIES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. 

I AGREE TO SIGN THIS AGREEMENT ELECTRONICALLY, AND ACKNOWLEDGE THAT I HAVE THE OPTION TO SIGN THIS AGREEMENT BY HAND IF THAT IS MY PREFERENCE.
By clicking on the "I ACCEPT" button and typing my name in the space below, I acknowledge and accept the General Release, Waiver, & Indemnification Agreement.

I ACCEPT and confirm my acceptance by typing my name here:
MUST BE ABLE TO COMFORTABLY RIDE A BICYCLE

The ability to ride a bicycle is a necessary prerequisite for The MSF DirtBike School because it confirms the student already possesses the fundamental skill of balancing and stabilizing on two wheels. The course does not teach basic balance; it teaches motorcycle-specific controls, so students must have this foundational skill to avoid being dismissed from the course.
Thanks to a grant administered by the Motorcycle Safety Foundation, The MSF DirtBike School is being offered for free* (normally $250 per student) for a limited time. Encourage your friends and family to visit www.RideOHV.com for additional Off Highway Vehicle free training opportunities.

*Mathews HD will make every effort to fulfill your enrollment request, however, it is possible MSF has filled the same seat based on interest from www.RideOHV.com
***NOTICE***

If you see a class listed that does not meet the needs of your preferred enrollment date, you may message LearnToRideFresno@gmail.com OR Text (559)233-5279 with the date and age of intended participant to see if the class can be restructured.

FAMILY classes are for students of all ages (6+) and range in class size from 4 participants to 8 depending on the age of the youngest student.

The MSF DirtBike School has very strict constraints on class size based on the youngest age of a participating student. Therefore, submitting a completed registration form does not guarantee enrollment. Mathews HD will confirm receipt and provide enrollment confirmation, or additional information, within 48 hours of registration.
Select Your Preferred Class Date - Subject To Availability
Please Specify An Alternate Class Date In The Event Your First Preference Has Reached Capacity

Alternate Class Date(s):
Please let us know if you have any additional comments or concerns. If none, enter N/A
***FOR INTERNAL USE ONLY***
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• Class Is Approximately 5 Hours •

Student Identity and Contact Information

Students are fitted from head to toe with safe riding gear which include helmets, goggles, gloves, jersey, riding pants, & riding boots -- FOR FREE!

Important Details To Be Aware Of Prior To Completing Registration

MUST BE ABLE TO COMFORTABLY RIDE A BICYCLE