New Student Registration
4 Copperstone Landing SE, Calgary Ph: 587-703-4646. Email: info@southdriversschool.com
Student Name
*
Mr.
Mrs.
Miss
Prefix
Last Name
First Name
Middle Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
*
Cell Number
*
Date of Birth
-
Month
-
Day
Year
Date
Learner/Driver Licence number
Choose your Program
*
Platinum program
Premium program
Ultimate program
Basic program
Refresher program
Advance program
2 Hours Brush-up only
Car Rental (only Friday)
Parents Name (Guardian)
Mr.
Mrs.
Miss
Prefix
First Name
Last Name
Phone Number
Email
example@example.com
Notes
Payment Option: Pay with PayPal or debit/credit card or E-Transfer to shakilahd04@gmail.com
*
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( X )
Platinum Program
$
745.00
CAD
* 10 hours behind the wheel.* 15 hours on-line insurance reduction. * Pick up and drop off within the city limits.
Premium Program
$
1,070.00
CAD
* 14 hours behind the wheel. * 15 hours on-line insurance reduction.* Pick up and drop off within the city limits.
Ultimate Program
$
1,360.00
CAD
* 18 hours behind the wheel.* 15 hours on-line insurance reduction.* Pick up and drop off within the city limits.
Basic Program
$
690.00
CAD
* 10 hours behind the wheel only.* Pick up and drop off within the city limits.
Refresher Program
$
450.00
CAD
* 6 hours behind the wheel only. * Pick up and drop off within the city limits.
Advance Program
$
550.00
CAD
* 6 hours behind the wheel. * 15 hours on-line insurance reduction. * pick up and drop off within the city limits.
2 Hours Brush-up
$
165.00
CAD
* 2 hours behind the wheel only.* Pick up and drop off within the city limit.
Car Rental
$
150.00
CAD
* Car rental only for friday.
Subtotal
$
0.00
CAD
Tax
$
0.00
CAD
Total
$
0.00
CAD
Submit
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