Course Registration Form
Please fill out the below form to complete your class's registration.
Name
*
First Name
(FULL) Middle Name
Last Name
Suffix
Birth Date
*
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Year
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Zip Code
*
DMV Customer or Driver's License Number
*
Photo Identification
Browse Files
Drag and drop files here
Choose a file
Please upload a photo of Student's License, Learner's Permit or DMV-Issued Identification Card
Cancel
of
Course Selection
Please select your reason for attendance below.
Online Class Option (Select "Online" if In-Person Class is Preferred**)
*
8-Hour Driver Improvement - Court Ordered
8-Hour Driver Improvement - DMV Ordered (Compliance Summary Request)
8-Hour Driver Improvement - Volunteer (Positive Points, Prior to Court or Insurance)
3-Test DMV Failure / Learner's Permit Preparation (Ages 18 +)
Online
In-Person Class Selection
*
8-Hour Driver Improvement - Court Ordered
8-Hour Driver Improvement - DMV Ordered (Compliance Summary Request)
8-Hour Driver Improvement - Volunteer (Positive Points, Prior to Court or Insurance)
3-Test DMV Failure / Learner's Permit Preparation (Ages 18 +)
Online Driver's Education Classroom - Final On-Site Test
Other
Driver Improvement (Court and DMV-Approved) - $65
*
8-Hour Driver's Manual, Ages 18+ (3-Test DMV Failure) - $135
*
Online Driver's Education Classroom - Final On-Site Test Note: There is no initial cost to take the on-site test. Additional testing may be rebooked for $15 for each additional test
*
Course Payment
prev
next
( X )
8-Hour Driver Improvement
$
65
3-Test DMV Failure / Learner's Permit Prep (Ages 18 and Over)
$
135
Online Driver's Education On-Site Exam
$
Free
Save and Continue
Submit
Wellness Inquiry
For the safety of our class and community, please answer the below three questions.
Do any of the below questions apply to you?
*
Yes
No
Received a positive test for the virus that causes COVID-19 disease within the past 10 days?
Have a cough, shortness of breath, sore throat, muscle aches, fever, or chills that cannot be attributed to another health condition?
Have a fever (100.4°F or higher) or a sense of having a fever?
How Did You Hear?
We'd love to know about how you heard about CDIC Driving School?
How Did You Hear About CDIC?
*
Search Engine (Google, etc.)
Friend / Family Recommendation
Facebook/Instagram
Passing by Laburnum /Visiting Shopping Center
Online Ad / Flyer
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