To "pre-register" (reserve a position in a particular class) we ask that a check for the full amount of tuition be made out to Motorcycle Safety of Arkansas LLC and be mailed in advance to the address below (this is your commitment to attend).  If you do not pre-pay then you are on a stand-by status, so if you show up and the class is full you will not be able to participate.

Mail registration check to:   Motorcycle Safety of Arkansas, LLC
                                               Kent Gibson
                                               P. O. Box 16732
                                              Jonesboro, AR. 72403-6712

If you wish to talk directly please call:  870-932-3606

After your check is received you will be sent a confirmation letter and payment receipt confirming your registration in that class.  Each class must have at least four students for a class to make.  If you are enrolled in a class that is cancelled due to a lack of enrollment you may reschedule for the next available class that fits your calendar, or receive a refund less $5 for your workbook and shipping.  Accommodations will be made for last minute enrollment.

Students 14 through 17 years old must have the MSF Waiver Form signed by a parent or legal guardian prior to the riding portion of the class.

Special classes can be scheduled, it only takes a minimum of four riders for a class to make either a BRC or ERC.  If you have a small group that wants to take the course together on a special weekend, we will do all we can to make it happen!

If you wish to send your contact information by e-mail please complete the following form.  You will be contacted within a couple days. Remember you only are "pre-registered" if you have mailed a check in the full amount in advance.

The "E-mail Address:" box below MUST be filled in CORRECTLY, without it your contact information will not be forwarded to us! If you do not immediately receive a confirmation notice back to your "Inbox" then an error occurred and we did not recieve your information.

Name:
Mailing Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Work Phone:
E-mail Address:
Choose the course you are interested in taking:

Number of students in your family or group interested in taking the class:

Please list students under the age of 18, please state their names and ages (one per line please):


Date of course preferred:

Best time of day for a phone contact:

Comments:

All information submitted is for us to contact you pertaining to taking a motorcycle safety course and will not be sold or used for any other purpose.
Last update: November 7, 2007