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

Will you participating

in the Scootaville

event?

If no, click here. 

 

If Yes - continue.

Are you a Pensioner?

     (We need to know this to get group bookings for some destinations and train travel).

Are you ex or serving ADF

Which Service? (Leave blank if N/A)

If not ex-ADF, what organisation do you represent

Are you a TPI/EDI?

     (We need to know this to get group bookings for some destinations and train travel).

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.

  

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. Please note all persons must pay the entry fee ($200).

  

If a supporter how can you assist

  

 

If supporter, are you able to provide a support vehicle

  

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

  

Have you ever ridden a moped or motor bike?

  

Do you have a motor bike licence

  

Have you arranged for someone to be your bike buddy?

  

 

If so - who?

Do you wish us to arrange train travel for your return to Brisbane?

Comments

   
   

 

 

  free counter