DIY Moto Inc. Membership Form
Your Information
First Name *
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Last Name *
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Email *
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Phone Number *
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Street Address *
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City *
Postal Code
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Province *
Country *
Date of Birth *
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Which type of membership are you applying for? *
Your Bike
We require this information for insurance purposes, and to ensure that everyone is working on bikes they personally own.
Make
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Model
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Year
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VIN, Vehicle Identification Number
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Name on Ownership
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Insurance Company & Policy Number
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Plate Number
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Driver's License Number
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For Our Information
Where did you hear about the shop?
How long have you been riding?
How would you rate your DIY motorcycle skills?
Beginner - Never done my own work
Expert - I'm practically a mechanic
Waiver
Agreement of Acceptance of Risk, Release, Waiver and Indemnity

For good and valuable consideration, including the payment by me to DIY Moto Inc. of the first of the monthly fee and the use by me of the DIY Moto Inc. facilities and tools (the “Activities”) and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I agree as follows:

I acknowledge and agree that there are certain risks of damage to and loss of my property and injury to myself including, but not limited to death, which may arise from my voluntary participation in Activities.

I assume responsibility for any damage to or loss of my property and to injuries to myself, including death, in each case of any kind or nature whatsoever, which I may sustain or suffer as a result of participating in any Activities. I hereby release, waive and forever discharge DIY Moto Inc. and its partners, officers, employees and agents (“Representatives”) from any and all liability, claims, damages and losses arising out of any injury, death, damage or other loss of any kind whatsoever howsoever caused, including as a result of any act or omission of DIY Moto Inc. or any of its Representatives, that may be sustained by me or to any property belonging to me while participating in Activities.

I agree to and hereby indemnify you and your Representatives and will hold you and your Representatives harmless against any and all claims, loss or damage in connection with the Activities and my use of your premises, facilities and tools. This includes, without limitation:
1. damage to your premises, any of your property, your tools and anyone else’s property on your premises; and
2. any injury to any person or the death of any person to the extent caused or contributed to by me.
This Agreement shall be binding upon myself and my heirs, personal representatives, executors, trustees and administrators. This agreement shall be governed by the laws of the Province of Ontario.

I hereby acknowledge that I am 19 years of age or older and I have read this Agreement of Acceptance of Risk, Release, Waiver and Indemnity and fully understand its terms and understand that I have given up rights by signing it and sign it freely and voluntarily without any inducement.

Submit Your Information
By submitting your information you hereby agree to the Waiver & the Terms and Conditions for use of the shop and for membership at DIY Moto Inc. Terms and Conditions can be found on the website www.diymoto.ca

I agree to the Waiver & the Terms and Conditions for DIY Moto Inc. *
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