Thank you for your interest in the online Five-Hour Pre-Licensing Course, held remotely through Zoom. Submitting this form authorizes our office to register and bill the individual listed on this form for the Five-Hour Pre-Licensing Course. If additional information is needed for us to register you for a course, or if a class you’d like to sign up for is no longer accepting registrations, we will contact you as soon as possible. Please note:
This form can only be used to register the individual whose information is listed below.
This form must be submitted by the individual listed below, or by their parent/guardian, significant other, or sponsoring employer. Please submit your request and fill out the form again for any additional students you'd like to register.
Please note that 24-hour notice is required for any cancellations in order to recieve a refund.
Failure to give 24 hours’ notice will result in loss of payment; those who did not pay in advance will still be liable for the course fee.
Students must have their NYS Learner's Permit with them when they login to the course.
The fee for this course is $55.