PNW Riders

96ssportsp · 03-22-2008, 11:52 AM

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-

TraumaHawk · 03-22-2008, 02:10 PM

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!

Jimmyz · 03-22-2008, 02:59 PM

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.

Lindsey · 03-23-2008, 06:46 AM

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...

jpilot98 · 03-23-2008, 07:54 AM

great idea... i will definitely print one out tomorrow at work and put it in the bag

Jimbo · 03-23-2008, 03:10 PM

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.

GSXR-RACER · 04-03-2008, 10:16 PM

Originally Posted by TraumaHawk

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..

maverik · 04-03-2008, 10:19 PM

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,,,

mjn · 05-02-2008, 09:40 PM

Great idea Scott.

Stickied.

Cougar · 05-04-2008, 08:04 AM

Great idea. I just bought one of these for that very purpose:

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


03-23-2008, 06:46 AM	#4
Lindsey Pit Crew 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...

Thread Tools
Show Printable Version Email this Page
Display Modes
Linear Mode Switch to Hybrid Mode Switch to Threaded Mode

PNW Riders

About PNW Riders

Advertising


03-22-2008, 11:52 AM	#1
96ssportsp WMRRA Qualifier 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- Last edited by 96ssportsp; 04-03-2008 at 09:59 PM..


03-22-2008, 02:10 PM	#2
TraumaHawk WMRRA Qualifier Joined: Jul 2007 From: Richland, WA I Ride: Street: MV F4 Senna, Benelli Tornado, Suzuki Hayabusa. 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!


03-22-2008, 02:59 PM	#3
Jimmyz Zone Head 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.


03-23-2008, 07:54 AM	#5
jpilot98 Zone Head Joined: Jul 2007 From: Kennewick, WA I Ride: 07 zzr600	great idea... i will definitely print one out tomorrow at work and put it in the bag


03-23-2008, 03:10 PM	#6
Jimbo Training Wheels 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.


04-03-2008, 10:19 PM	#8
maverik Pit Crew 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,,,


05-02-2008, 09:40 PM	#9
mjn Moderator Joined: Jul 2005 From: Tri-Cities Blog Entries: 1 I Ride: In search of the next 35mph corner......	Great idea Scott. Stickied.


05-04-2008, 08:04 AM	#10
Cougar Streetfighter 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