Joining our Rider Waiting List

Please provide the following details to join our Rider Waiting List

Primary Contact Name:

Relationship to Rider

Contact Email:

Contact Phone:

Full Name of Rider

Rider's Age

Disability

Height

Weight

Mobility

Preferred Day to Ride

Can the rider ride a bike?

Can the rider follow instructions?

Core Strength

Other Details

Thank you for applying to ride at RDA.

We will get back to you to confirm your place on the Waiting List as soon as possible.

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Get in touch Today!

Please let us know if we can assist with more information.

office@rdacapricorn.com.au

0477 411 088

@rdacapricorn

1441 Old Yanchep Road, Pinjar WA 6078

PO Box 1238 Joondalup DC WA 6919

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