CDIC Course Registration

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 *

Month Day Year
Phone Number *

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

This section is not required and may be skipped at this time but an ID must be provided on the day of class in order to verify identity.
Cancel of
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
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?

Course Selection

Please select your reason for attendance below. Note: We are not currently offering behind-the-wheel instruction for Driver's Education but are offering a low-cost option for classroom instruction.
Select Reason for Attendance *

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

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 (No Cost for First Test)

Free

Online Driver's Education On-Site RE-TEST

$ 15

Pay On the Day of Class This option may be selected if registrant would prefer to pay on the day of class.

Free

Enter coupon

Course Registration Form