(AJDIP) Advanced Juvenile Driver Improvement Program

Advanced Juvenile Driver Improvement Program Registration

(AJDIP)
Tuition $250.00 (Due Upon Registration)
Select An Available Class Date
Students Full Name

First NameMiddle NameLast Name
Gender
Students Date of Birth

MonthDayYear
Date
Students Phone
Please enter a valid phone number.Format: (000) 000-0000.
Phone Carrier
Address (As Shown on Students' License)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Students License Number
AB123456
Expiration Date

MonthDayYear
Date
Did the court suspend the students license?
With not having driving privileges you will need to have a note from the court giving driving privileges for course.

This will need to be presented before class or the day of class.
Number of driving offenses the student currently has on their license
What Driving School did the student attend?
Was This Course Court Ordered
Which Court Ordered The Student To Attend The Program
Judge/Magistrates Name
Who is ordering or requiring the student to attend the course
Attending Parent Full Name

First NameLast Name
Parents Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone Carrier
Parents Email
example@example.com
Upload a copy of the car insurance of the vehicle you will use for the course. If the student's name is not on the insurance card, it should be listed on the first page of the insurance policy paperwork. The insurance information coverage must include class date.

If you are unable to download the car insurance right now please text a picture of the car insurance with the students name to office@professionaldrivingsystems.com before the day of class.
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Upload a copy of the front side of student's license

If the court confiscated the students’ license, please download a copy the attending parent/legal guardians’ license.
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Do you have any questions of concerns?
If you are registering for this course with only recieving a letter from the BMV stating your student must take a "Juvenile Improvement" you need to take the BMV ordered Juvenile Remedial course.
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Advanced Juvenile Driver Improvement Program Registration

Tuition $250.00 (Due Upon Registration)