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Old 03-22-2008, 11:52 AM   #1
Streetfighter
 
96ssportsp's Avatar
 
Joined: Apr 2006
From: Hermiston, Or

I Ride: Ducati 900ss/sp Ducati 1000s DS Multistrada
Rider Safety Info Sheet
Hello everyone,
With the start of a new riding season I would like to make the the following rider information sheet available to all who might ride with me. I know this is personal, but so is being in a situation such as I had last July. At least consider carrying this with you on your bike. Thanks, Scott.

P.S.- This form comes courtesy of Marv Travis in the Seattle area.



RIDER SAFETY INFORMATION
Full Name
Home Address

E-mail Address
Home Phone Number
Cell Phone Number

Motorcycle Year, Model
License Plate Number

Emergency Contact #1
Relation
Contact Phone Number

Emergency Contact #2
Relation
Contact Phone Number

Medical Insurance Carrier
Policy Number
Group Number

Vehicle Insurance Carrier
Policy Number

Towing Service
Policy Number

Special Instructions
Tow Bike with Valuables
Secure and Leave at Location
Other

Medical Conditions
Blood Type, (if known)
Allergies
Diabetes
HIV
Other
Medications-
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Last edited by 96ssportsp; 04-03-2008 at 09:59 PM..
 

Old 03-22-2008, 02:10 PM   #2
Streetfighter
 
TraumaHawk's Avatar
 
Joined: Jul 2007
From: Richland, WA

I Ride: Street: MV F4 Senna, Ducati Streetfighter S. Track: Ducati 1098R
And as a professional request - add a list of your medications please.

And I hope NOBODY on this forum comes see me at work. But if you need to, I hope I'm on shift. Hear that Mario? No flights to Seattle for you!
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Old 03-22-2008, 02:59 PM   #3
Superbiker
 
Jimmyz's Avatar
 
Joined: Apr 2006
From: Richland, WA
Blog Entries: 1

I Ride: Fizzer1k, KLR
Thanks Scott. I'll be keeping one in my tank bag.

On top of that I call for some serious discussion in the rider meeting. Also, the leaders should set some boundries. I have some regrets I guess.
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Old 03-23-2008, 06:46 AM   #4
Pit Crew
 
Lindsey's Avatar
 
Joined: Apr 2007
From: Kennewick, Washington

I Ride: 2003 Kawasaki Concours
Flying Anvil
Great idea, I'll set mine up. I had a recent vertigo episode that laid me out in Columbia Park. My wife was with me, but if I'd been on the bike someone would've needed that info badly...
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Old 03-23-2008, 07:54 AM   #5
Superbiker
 
jpilot98's Avatar
 
Joined: Jul 2007
From: Kennewick, WA

I Ride: slow
great idea... i will definitely print one out tomorrow at work and put it in the bag
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Old 03-23-2008, 03:10 PM   #6
Endorsed
 
Jimbo's Avatar
 
Joined: Sep 2007
From: Hermiston, OR

I Ride: 07 Aprilia Tuono
Thanks Scott! I'll be carrying that list.

Also a good idea to enter and store an I.C.E. (In Case of Emergency) number on our cell phones.
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Old 04-03-2008, 10:16 PM   #7
MotoGP Contender
 
GSXR-RACER's Avatar
 
Joined: Nov 2005
From: Pasco, Washington

I Ride: 04" Mladin Edition
“ Quote:
Originally Posted by TraumaHawk View Post
And as a professional request - add a list of your medications please.

And I hope NOBODY on this forum comes see me at work. But if you need to, I hope I'm on shift. Hear that Mario? No flights to Seattle for you!
Ha Ha..Its going to be a good year for me, I need to stay out of trouble..
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Old 04-03-2008, 10:19 PM   #8
Pit Crew
 
maverik's Avatar
 
Joined: Aug 2006
From: hermiston,oregon

I Ride: Like An Old Fart ,, CBR1000rr ,, FJR
Got one in the tank bag already,,had a similar situation last year too, if it wasn't for one of the other riders having the right information, we would of been in trouble,,,
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Old 05-02-2008, 09:40 PM   #9
mjn
Moderator
 
mjn's Avatar
 
Joined: Jul 2005
From: Tri-Cities
Blog Entries: 1

I Ride: In search of the next 35mph corner......
Great idea Scott.

Stickied.
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Old 05-04-2008, 08:04 AM   #10
Streetfighter
 
Cougar's Avatar
 
Joined: Nov 2006
From: Richland, WA

I Ride: More and Worry Less!
Great idea. I just bought one of these for that very purpose:

http://www.aerostich.com/catalog/US/...t-p-16488.html
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