Annual Licence Application

Purchase your 2020 licence before January 31st, 2020 and get a Free Test Day*!

* Application must be completed and paid in full to be eligible for a Free Test Day. The Free Test Day will be granted to the licencee to be used on May 2nd, 2020 only. This promotion cannot be transferred.

Applicant Information
This form must be completed and fees paid in full to obtain your licence. In order to compete in the Super Series, waivers shall be signed on your first visit at registration of your first event. Medical documentation might be required.
Licences purchased before March 31st will be send by mail. Licences purchased after March 31st will be given at registration of your first event.
Applicant Name*
First Last
Date of Birth*
If you are under 18 years of age, you will need parental/tutor consent. Please contact us for details.
Minimum age requirement is 15 years old.
Date Format: DD slash MM slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Picture Upload Mandatory
Your new licence will now have a picture. Please upload a picture of yourself (headshot) with a white background - no sunglasses. Yes you can smile!
Picture Upload
Is there any medical condition that we should be aware of?
Emergency Contact Information
Please give us the name and phone number of your next of kin to be contacted in case of an emergency.
Emergency Contact Name*
First Last
Relation to you
Emergency Contact Phone Number*
Rider Status Information
Please tell us about your racing background.
Proof of past race licenses and/or race documentation is required. Approval of documentation will be at the discretion of the Super Series.
Proof of past race licence.
Please upload a picture of your current or past race licence.
Have you ever raced with the Super Series before?*
- Yes
- No
If you answered no to the previous questions, where have you raced before? and when?
What is your current Status?*
Status Change Request
Have you attended a Road Racing school? Which organization, and when?
Please upload a copy of your Road Racing school certificate.
Motorcycle Information
Please give us the Make, Model and Year of your motorcycle.
Please tell us your preferred competition number.
Give us 3 choices.
First choice Second choice Third choice
- Do you want to Opt-In to our Newsletter?
Don't forget to check this box if you want to receive news about us.
By submitting this application, I consent to:*
I agree to abide by the Rules and Regulations of the Super Series and its Code of Conduct.

This form must be completed and fees paid in full to obtain your licence.

In order to compete in the Super Series, waivers shall be signed on your first visit at registration of your first event.

Medical documentation might be required.
I agree
2020 Competition Licence Fee
Price: $ 169.50 CAD
$150.00 + $19.50 (HST)= $169.50
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Applicant Information

Picture Upload Mandatory

Emergency Contact Information

Rider Status Information

Motorcycle Information

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