CDIC Course Registration

Course Registration Form

Please fill out the below form to complete your class's registration.
Name*

First Name(FULL) Middle NameLast NameSuffix
Birth Date*

MonthDayYear
Phone Number*

Area CodePhone Number
Email
example@example.com
Zip Code*
DMV Customer or Driver's License Number*
Photo Identification

Please upload a photo of Student's License, Learner's Permit or DMV-Issued Identification Card
Cancelof
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 Ordered8-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 Ordered8-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 TestOther
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

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

Enter coupon

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 RecommendationFacebook/InstagramPassing by Laburnum /Visiting Shopping CenterOnline Ad / Flyer
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Course Registration Form