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ZARS / PO BOX 926, Prior Lake MN 55372 / 612-310-9833 / team@ridezars.com www.ridezars.com 

Course Information:

The above-named (hereinafter referred to as “participant”) agrees to pay Zalusky Riding School, LLC (hereinafter referred to as “ZARS”), the indicated fee for one of the following courses:

Participant understands and acknowledges that 100% attendance is a requirement, but not a guarantee, for successful completion of the course. Participant agrees to furnish his or her own protective riding gear, consisting of: eye protection, long sleeves, long pants, full-fingered gloves, over-the-ankle footwear, and a DOT-approved helmet. Participant agrees to wear the required gear whenever riding a motorcycle during the course.

ZARS agrees to provide classroom and riding instruction which is appropriate and safe. All instruction will be provided by licensed instructors and will be in accordance with approved practices. ZARS agrees to provide training motorcycles for each participant’s use. ZARS agrees to provide the participant a course completion certificate. ZARS agrees to provide a full refund in the event of cancellation of the course or any portion of the course by ZARS. ZARS agrees to reschedule the course, if the participant contacts ZARS to reschedule at least two weeks before the first day of the course. This contract constitutes the complete agreement between ZARS and the student, and no verbal statements or promises will be recognized.


First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Course Information
Start Date:
Contract/Agreement Unique Identifier Number:
Motorcycle Information
Motorcycle Permit (not required, unless you only have a permit) #
Date Issued:
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card
Driver's License / ID Card Number*
Issuing State*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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