Please indicate if you want to be part of the best outing in 2022.

If some questions are not relevant to you - just leave them blank.

 

Both Rider and Bike Buddy must complete form.

 

Remember, you don't need a motor bike licence to ride the 50cc mopeds, a car licence will do.

 

If you make a mistake filling in the form, click RESET and start again

 

 

 

 

First name

Surname

Your age

    (We need this to get an average - for media purposes)

Address

Suburb/Town

Postcode

Phone

 

                                                 

Email

So we can arrange power for those requiring ResMed devices or similar in order to sleep, please indicate if you will require power at night.

  

Are you ex or serving ADF

  

Which Service? (Leave blank if N/A)

  

If not ex-ADF, what organisation do you represent

  

Do you wish to be a rider, a supporter or a tag alonger

  

If a Tag-along, please provide the names of all people travelling with you.

  

If a supporter how can you assist

    

Have you ever ridden a moped or motor bike?

  

Do you have a motor bike licence

  

Are you able to provide a support vehicle

        

If so - what? (Leave blank if N/A)

    

Have you arranged for someone to be your bike buddy?

  

 

If so - who?

   

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