New Student Registration
4 Copperstone Landing SE, Calgary Ph: 587-703-4646. Email: info@southdriversschool.com
Student Name
*
Mr.
Mrs.
Miss
Prefix
Last Name
First Name
Middle Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
*
Format: (000) 000-0000.
Cell Number
*
Format: (000) 000-0000.
Date of Birth
-
Month
-
Day
Year
Date
Learner/Driver Licence number
Choose your Program
*
Platinum program (Certificate program)
Premium program (Certificate program)
Ultimate program (Certificate program)
Basic program (None certificate)
Refresher program
Advance program (Not for new driver, required full class 5 license)
2 Hours Brush-up only
Cancellation fees
Parents Name (Guardian)
Mr.
Mrs.
Miss
Prefix
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Notes
Payment option: you can also e-transfer to shakilahd04@gmail.com
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( X )
Platinum Program (Certificate program)
$880.00 CAD
$
880.00
CAD
* 15 hours on-line insurance reduction .* 10 hours behind the wheel.* Pick up and drop off within the city limits.
Premium Program (Certificate program)
$1,210.00 CAD
$
1,210.00
CAD
* 15 hours on-line insurance reduction.* 14 hours behind the wheel. * Pick up and drop off within the city limits.
Ultimate Program (Certificate program)
$1,540.00 CAD
$
1,540.00
CAD
* 15 hours on-line insurance reduction.* 18 hours behind the wheel.* Pick up and drop off within the city limits.
Basic Program (None certificate)
$825.00 CAD
$
825.00
CAD
* 10 hours behind the wheel only.* Pick up and drop off within the city limits.
Refresher Program
$495.00 CAD
$
495.00
CAD
* 6 hours behind the wheel only. * Pick up and drop off within the city limits.
Advance Program (Not for new driver, required full class 5)
$550.00 CAD
$
550.00
CAD
* 15 hours on-line insurance reduction, * 6 hours behind the wheel. * pick up and drop off within the city limits.
2 Hours Brush-up
$165.00 CAD
$
165.00
CAD
* 2 hours behind the wheel only.* Pick up and drop off within the city limit.
Cancellation Fee
$95.00 CAD
$
95.00
CAD
* If you should fail to advise us of your lesson cancellation in 72 hours (3days) or do not show up for your scheduled appointment, a cancellation fee of $95 will be administered since this slot/time was reserved for you.
Subtotal
$0.00 CAD
$
0.00
CAD
Tax
$0.00 CAD
$
0.00
CAD
Total
$0.00 CAD
$
0.00
CAD
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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