Atlanta Motorcycle Schools’ Application

AMS Sign Up Form (and Gift Certificate)

Please complete and submit the following information. If you are presenting this course as a gift, please fill out the information for the recipient and put your name in the “This is a gift from” section.

After receiving your application, Ken will call you to schedule your session. Call if you have any questions (770.573.9902 business or 678.777.3611 cell).

Please be assured that Atlanta Motorcycle Schools does not share this information with anyone. Information collected in this form is used solely to contact you regarding your motorcycle sessions. Height and weight are requested to assist us in selecting the properly sized motorcycle for your training.

Thanks!

Your Name: Nickname:
(ie, Bob for Robert)
Address: City, State, Zip:
Home Phone: Work Phone:
Cell Phone: Height:
E-mail: Weight:
Date of Birth: Applicants over 65 years of age must provide a letter from their physician. Click here for details.
Yes No Do you have medical insurance coverage?
Yes No Can you ride a bicycle?
What make/model motorcycle(s) do you own?
How many miles have you ridden in the past 12 months?
Describe any motorcycle classes you have taken:
Describe any handicaps or physical limitations which might affect your ability to operate a motorcycle:
Describe any medication you take (prescription or over the counter) which might affect your ability to operate a motorcycle:
How did you learn of Atlanta Motorcycle Schools?
This is a gift from (include your address and phone number if the gift certificate is to be mailed to you rather than the recipient):
* All prices are subject to change without notice.
Course Title Approximate Duration Cost* Deposit Indicate
Course Desired
Course AS 202
DualSport Riding for the Street Rider
5 hours $450.00 $200.00

Course SB 301
Street Smarts
6 hours $520.00 $200.00
Course AS 302
Adventure Sport
6 hours $540.00 $200.00

Comments/Questions/Tour passenger name:
    Required Gear for all AMS Courses:
  • DOT Approved helmet (provided, if necessary)
  • Eye Protection
  • Full-fingered gloves (preferably leather—provided, if necessary )
  • Long sleeved shirt or jacket
  • Long pants (no holes, no tears)
  • Over-the ankle boots (preferably leather)
  • Prescription glasses—as required
  • Rain gear—as required

Mail nonrefundable deposit (check or money order) to:
J K M Inc.
201 Stiles Rd.
Epworth, GA 30541

Your deposit must be received within five (5) business days to hold your scheduled date.

Three (3) business days notice is required to reschedule any course without loss of deposit.
 

Validate Input Please enter “ride2eat” in the box to the left.
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Please note: If you do not see the Thank You page after Submitting, please try again later. If the problem persists, please notify the webmaster. Thanks!
  JKM Inc.
  201 Stiles Rd
  Epworth, GA 30541
  (770) 573-9902 (o)
  (678) 777-3611 (c)
  Email: Ken Murray

 

  Website Designer:
  Web Cycle Designs
  Email: Webmaster


  1999-2011© JKM Inc.
  All Rights Reserved
 


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