| South Wales Police BikeSafe Weekend
Workshops Application Form |
| Name: |
| Address: |
|
| Post Code: |
| Telephone Number: |
| Age Group:
|
| Any post test training? |
| Year you passed the motorcycle test: |
Have you recently returned to motorcycling
after a
period of absence? YES/NO |
| How
Did You Hear About BikeSafe Workshops? |
| Approximate Annual Mileage Per Year? |
| Motorcycle Details: |
Make: |
Model: |
|
Please put
a ring around the date and venue you require:
Workshop Dates 2010
Cardiff:
May 22/23 and July 17/18
Swansea:
April 24/25 and June 26/27
Vale of Glamorgan 24/25 July 28/29 August 18/19 September
|
| The cost will be £100 per rider. If you live in Cardiff or live/work in Swansea or the Vale of Glamorgan (details of employer must be provided and attend a workshop in that authority, the cost is £20 (heavily subsidised by your local authority). Please enclose a cheque made out to the ‘Road Safety Wales ’. The cheque will not be cashed until you have been allocated a place on one of the workshops – it will then become non-refundable. Please note that that if you intend to bring a pillion passenger there will be an additional charge of £10 per day. |
| I intend to
bring a pillion on None/One/Both days (delete as applicable) |
Cheque enclosed £
|
| Please specify
any dietary needs. |
|
|
Please
read the following declaration and sign below
I understand that the workshops
will include on road riding, and that it is my responsibility
to ensure that all relevant legal requirements will be complied
with and that the South Wales Police will not accept any liability
for loss, injury, theft or damage whilst on police property.
This is not a training course.
Signed..........................................Date............................... |
Please return the completed form
to:
J Bibby, Road Safety Wales, 2 Cwrt y Parc, Parc Ty Glas, Llanishen, Cardiff CF14 5GH
|