RaceMoto Canada Annual Licence Application 2025

Applicant Information

Race license application must be completed and fees paid in full in order to participate in RACE Moto.CA events. Additional medical documentation may be required.

Applicant Name*

First Last

Date of Birth*

If you are under 18 years of age, you will need parental/guardian consent. Please contact us for details.

Minimum age requirement is 15 years old.

Competitor Mailing Address*

Please enter a valid mailing address.

Street Address City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Picture Upload

Your licence includes a picture. Please upload a picture of yourself (headshot) with a white background - NO SUNGLASSES - FACING FORWARD.

NOTE: Licences will not be sent out without a photo.

Picture Upload

Max. file size: 1 MB.

Emergency Contact Information

Please give us the name and phone number of your next of kin to be contacted in case of an emergency.

Emergency Contact Name*

First Last

Relation to you

Emergency Contact Phone #*

Rider Status Information

Please tell us about your racing background.

Proof of past race licenses and/or race documentation is required. Approval of documentation will be at the discretion of the RACE Moto.CA Technical Director.

Are you a current or returning racer to the series?

2025 Rider Status*

Desired competition level for 2025

Is this a change of status?

Are you requesting a change in rider status for 2025?

If you are new to the series, when was the last time you raced?

If you are new to road racing or have not raced in the last 5 years, a race school is MANDATORY.

If new to the series, what is your previous race experience??

CSBK

VRRA

SOAR

Moto America

Other

If you answered OTHER, please specify where have you raced before and when.

Proof of past racing licence.

If you do not hold a 2024 Super Series licence, please upload a picture of your race licence from previous year or other race series.

Max. file size: 8 MB.

Motorcycle Information

Desired Competition Number

Give us 3 choices. Once approved, you will receive an email to confirm your plate number and status.

First choice

Second choice

Third choice

Motorcycle #1

Year

Motorcycle #1

Manufacturer

Motorcycle #1

Model

Motorcycle #2

Year

Motorcycle #2

Manufacturer

Motorcycle #2

Model

Transponder

I will need to rent one

I have my own

Transponder #

Secondary Transponder #

Concussion Protocol and additional information

Motorsport is dangerous. The Government of Ontario mandates that all sporting organizations raise awareness about the risks of concussions.

Please complete those questions as truthfully as possible.

Concussion Questions:*

Please read and check all.

I will help prevent concussions by wearing the proper clothing and equipment and wearing it correctly.

Respecting the RACE Moto.CA series Rules & Regulations.

I will not hide concussion symptoms. I will speak up for myself and others.

I have a commitment to concussion recognition and reporting, including self-reporting of possible concussion and reporting to a designated person when and individual suspects that another individual may have sustained a concussion. (Meaning: If I think I might have a concussion I should stop participating in further on-track activities immediately, or tell an official if I think another competitor has a concussion.)

I have a commitment to sharing any pertinent information regarding incidents of removal from racing with series officials.

I understand my commitment to supporting the return-to-racing process.

Medical Self Declaration*

Please check all that applies.

I do not present symptoms of a condition that would prevent me from racing.

I agree to provide series officials with a written medical clearance following a racing incident that shows sings of a concussion, or following any significant illness, injury, or hospitalization.

If you believe that it would be pertinent to us to know about an important health condition, please let us know.

Consent and digital signature

Digital signature*

Please write your name below in lieu of a digital signature.

BY SIGNING THIS DOCUMENT, I AGREE TO ABIDE BY THE RACE MOTO.CA RULES AND CODE OF CONDUCT.

Do you want to Opt-In to our Newsletter?

Don't forget to check this box if you want to receive news about us.

2025 Competition Licence Fee

$155.73 + $23.27 (HST)= $179.00

HST 1001056813

Price:

Total

How would you like to pay?*

Pay With Paypal or Credit Card

Send INTERAC E-mail Bank Transfer

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Please send $179 CAD via interac transfer to admin@racemoto.ca. Enter the email address you will be sending from below:

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Competition Licence Application

2025 Competition Licence Application

Applicant Information

Picture Upload

Emergency Contact Information

Rider Status Information

Motorcycle Information

Concussion Protocol and additional information

Consent and digital signature

Event Location: