FANTASY QUEENS MOTORCYCLE CLUB APPLICATION

FULL NAME:

NICKNAME:

ADDRESS:

CITY:

ZIP:

EMAIL:

HOME NUMBER: CELL NUMBER:

EMER. CONTACT NAME AND NUMBERS:

EMER. CONTACT NAME AND NUMBERS:

Do you have a valid Driver's License:yes no

Do you have motorcycle endorsements:yes no

Years of riding:

  • Anyone entering the club with endorsements will be on probation for 90 days
  • Anyone without endorsements can be on probation for up to four (4) months while getting their endorsements.
  • All prospects must answer to all full patch members until they become full members.
  • Anyone entering the club with a bike and endorsements will receive a full patch. (WILL HAVE TO DO 30 DAYS PROBATION)
  • Do you have any medical limitations to prevent you from riding a motorcycle:yes no
    If yes, explain:

    Do you own a registered and insured motorcycle:yes no
    Make:Model:Year:

    Becoming a member of this club will require some community work and traveling out of town. Will this be a problem for you?yes no

    If so, explain:

  • Please read all the information carefully before signing.
  • The completion of the application does not make you a member.
  • Signature of Applicant: Date: