Indiana District
Monthly Rider Education
Activity Reporting Form

Fields marked with (**) are required.

** Your Email Address:
** Which CHAPTER are you
   reporting on?:
** Which MONTH are you reporting on?:  

Type of Activity

How Many Held Total Participants

Rider Training Courses:

   
ERC - Experienced Rider Course
BRC - Basic Rider Course
ERC:2 Up Co-Rider
Road Captain Course
Sidecar Course
Trike Course
CPR
First Aid 
Seminar/Video Presentations:
Trailering Video
Touring and Braking Video 
Other Video (Helmet Training Video, etc.) 
Co-Rider Seminar 
Road Captain Seminar
Chapter Information:
Talks at Chapter Meeting
(By you and/or anyone r/t R.Ed)
Other Seminar or Activity
(includes PLP & mini seminars)
Newsletter Articles  
Newsletters Distributed  
Community Meeting/s
Extra comments:
(Due to Scripting Limitations Comments WILL NOT Show On Success Page But Are Submitted)
 

 
 
 

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