Missouri Rider Education
Activity Reporting

Please direct any questions to  Marty Hall.

Last revised 01-29-2010 

  EDUCATOR:

Educator's Name

Level

  CHAPTER REPORTING:
  REPORTING PERIOD:

Month

Year

Type of Activity

Number of Events

Number of Participants

 Rider Course Training

 MSF (BRC or ERC), CSC or ESC Course

 Advance Rider Course (ARC)

 Trike Rider Course (TRC)

 Sidecar Rider Course (SRC)

 Trailering Course (TC)

 Parking Lot Practice (PLP)

 Other Riding Skills Course / Event

  Seminars

  Co-Rider Seminar (Live or Video)

 Road Captain Course Seminar

 Team Riding Seminar

 Motorcycling For The Mature Rider (MMR)

  Motorcycle Crash Scene Response (MCSR)

 Trailering Seminar

  Other Education Related Seminar or Video

  CPR or First Aid Training

  CPR

 First Aid

  AED

 Motorist Awareness Presentation

  Community Meeting

 Meeting Presentation or Talks

  Chapter Meeting

 Other Meeting or Group

Totals

Total Events

Total Participants

NEWSLETTER ARTICLES / # OF NEWSLETTERS   DISTRIBUTED

Articles:

Newsletters:

Levels Summary:

Level I

Level II

Level III

Level IV

New forms processed:

Renewal forms processed:  

Comments: