Registration

Student Registration Form

Fill out the form carefully for registration
Student Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nearest High School
(Most driving appointments will start and finish at the nearest local public high school)
Mobile Number*
Preferred E-mail*
example@example.com
Course Start Date*

MonthDayYear
Course Time*
Additional Comments
Once we receive your registration you will be added to the roster for the course of choice. The weekend prior to the course start date you will also receive a welcome letter from your instructor with instructions for the course as well as the Zoom code and Password for course entry. Do Not Worry! Even if you have not used the Zoom program we will be available to help you with entry to the program. The first day of class can be a bit chaotic, but after the first day it's usually not a problem.
My Products*
prevnext( X )
Driver Education Course
$409.00

Total

$0.00
Please verify that you are human*

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Student Registration Form