Registration to Driving Course

Last name*
First Name*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date of Birth*

YearMonthDay
Date
Gender*

MaleFemaleOther
Address*

Street Address

Street Address Line 2

CityState

Postal Code
Spoken Languages*

FrenchEnglishOther
Your status in Canada*

Canadian CitizenshipPermanent ResidentOther (Student permit, work permit, refugee, etc.)
IMPORTANT NOTICE:

If you are not a citizen, you must book an appointment at the SAAQ.. You will be visiting the SAAQ to open a file and get your learner's permit at the end of phase 1. It is recommended to book your appointment when you complete phase 1.

Phone number: (514) 954-7771, #9 for English, #2 to speak to a representative.
Have you had a license in Québec, another province, or another country?*

YesNo
Québec License Number*
Please provide a picture of that license*

Cancelof
To which branch of ABC Driving School are you registering?*

ABC Driving School OgilvyABC Driving School Jean-Talon
What program are you enrolling for?*

For beginners -- Road Safety Education ProgramKnowledge Test PreparationRefresher Practical Lessons
Class Language Preference

FrenchEnglishHindi
ENGLISH -- Group Preference

Monday 5 PM to 7 PMSaturday 5 PM to 7 PM
FRENCH -- Group Preference

Sunday 2 PM to 4 PM
HINDI -- Group Preference

Sunday 11 AM to 1 PM
Class Language Preference*

FrenchEnglish
FRENCH -- Group Preference

Saturday 3:30 PM to 5:30 PM
ENGLISH -- Group Preference

Saturday 10 AM to 12 PM
Refresher Practical Lessons

1 hour only ($39.14)5 hours + car coupon at Henri-Bourassa ($230.48 + Taxes)10 hours + car coupon at Henri-Bourassa ($426.18 + Taxes )15 hours + car coupon at Henri-Bourassa ($621.88 + Taxes)5 hours + car coupon at Langelier ($260.93+ Taxes)10 hours + car coupon at Langelier ($456.63+ Taxes)15 hours + car coupon at Langelier ($652.32+ Taxes)
Were you referred by a student from ABC Driving School?*

YesNo
Please provide the information of your reference
Full Name*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Questions or Comments
Signature*
Should be Empty: