Zoom 5 Hr Registration

ZOOM 5 Hour Pre-Licensing Course Registration $55

Payment can be made by phone to our office or by PayPal on our website: https://www.rightwaydrivingcenter.com/
Please DO NOT use ALL CAPS when filling out this form. Thank you.
Please Read Carefully:

YOU MUST HAVE A ZOOM ACCOUNT TO PARTICIPATE IN THIS CLASS.

Please make sure you enter the email address that you use for your ZOOM account and check to make sure you receive an email confirmation. The email will contain important information about the class you have scheduled. If you do not receive a confirmation registration email from JotForm within 24 hours, or think you have done it incorrectly, please call our office at (518) 459-2040 to confirm your reservation.

* If you do not receive your completion certificate within 7-10 business days from the day that you took the class, we are not responsible if you do not provide us with the correct mailing address, including apartment number. If you do not provide the correct mailing address, there may be a $20 replacement fee for a new certificate.

DOUBLE BOOKING CANCELS ALL RESERVATIONS.

If you register for more than one class, your name will be removed from the roster. Please be considerate and only reserve one seat. If you can not attend a class you must cancel that class by calling the office prior to rescheduling. You will receive the link for the class the day of the class within an hour of the start time.
Student's Name EXACTLY as it is on your Permit *

First Name, Middle Initial Last Name
NYS Learner's Permit ID # *
ex: 123-456-789
Student's Date of Birth *

Month Day Year
Eye Color Listed on Permit *
BRO/BLK/GRY/GRN/BLU/HAZ
VIRTUAL "ZOOM" PRE-LICENSING COURSE DATES:

YOU MUST PICK A DATE BELOW BEFORE SUBMITTING REGISTRATION
Tuesday 10/20/20 4pm-9pm

Wednesday 10/21/20 4pm-9pm

Saturday 10/24/20 10am-3pm

MORE DATES TO COME...
Appointment (choose Date and Time) *
Address EXACTLY as Printed on NYS Learner's Permit *

Street Address

Street Address Line 2

City State

Zip Code
Student's Mailing Address (ONLY if different than above)

Street Address

Apartment # (if applicable)

City State

Zip Code
Student's Email Address used to log-in to Zoom Account (Do NOT use a school district email, schools do not let outside Zoom Meetings in) *

Confirmation Email example@example.com
Phone Number for Payment

Area Code Phone Number
Student's Phone Number *

Area Code Phone Number
Requirements for Course Participation & Successful Completion of Course
-You must use the ZOOM desktop client or mobile app to complete this course. You will not be able to join using the web client.

-You must use the email address linked to your Zoom account to enroll in and log into this course.

-Invitations sent to your email for this course are for use of the registered student and may NOT be transferred.

-Valid PHOTO Learner Permits MUST be shown on camera during Zoom class for ID verification at the start of class.

-Payment MUST be made either by phone (we will call you the day before your class for payment) or by PayPal prior to your scheduled course.

TO SUCCESSFULLY COMPLETE THIS COURSE, YOU MUST:

-Have your video on and be visible during the entire course (aside from any breaks)

-You must be in a distraction free environment (no cell phone use or other electronic device use during the live course)

-You must not be a distraction to the live class

If any of the above requirements are not met, you will be removed from the class and will not receive a certificate. There will be NO REFUNDS. You will have to retake the class in its entirety if removed from the class for any reason.

Your signature below affirms your have read and understood the requirements for successful completion of this course and grants Right Way Driving Center, Inc. permission to view/use identifying information for the sole purpose of verifying attendance and filling out completion certificates at the end of this course.
Signature of student *

Clear
Date *

Month Day Year
Please check you confirmation email VERY CAREFULLY.

If you do not see the date that you signed up for on your confirmation,

YOU ARE NOT REGISTERED.

Please complete the registration again.

This email confirmation will be the only confirmation you will receive (unless you also pay by PayPal). You will receive the link for your class the day of class at the latest.

Also, you must email us a photo of the front of your PHOTO NYS Learner's Permit before the class. Otherwise, we cannot fill out your completion certificate.

Email the photo to:

RightWayDrivingCenter@gmail.com
Please verify that you are human *
Should be Empty:

ZOOM 5 Hour Pre-Licensing Course Registration $55

VIRTUAL "ZOOM" PRE-LICENSING COURSE DATES:​

Requirements for Course Participation & Successful Completion of Course

VIRTUAL "ZOOM" PRE-LICENSING COURSE DATES: