The Right Turn DUI and Defensive Driving School - Defensive Driving Class Registration Form

The Right Turn Defensive Driving Class Registration Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Please Enter Your Date of Birth
License #*
Please Enter Your License Number
License State*
Email*

Confirmation Emailexample@exampl
Please select a Class Type (Note:An Insurance Reduction Certificate can solely be used for insurance purposes):*
Subtotal
Discount
Total Cost Calculation
Please Select a Defensive Driving Class Date & Time*
Office Use Only

STATEMENTS OF UNDERSTANDING

I understand and agree to the following:
1. This course is an In-Person only
2. This course is will start promptly at 9am and end at 4pm. There witll be a 1 hour lunch break from 12pm until 1pm. I understand that if I am late returning from lunch, the instructor has the right to refuse my entry and that no refund will be given.
3. Refund Policy - No Refunds will be given.
4. Mandatory three (3) student enrollments are required to have a class.
5. Masks are encouraged but no longer mandatory.
I have read and agree to the above Statements of Understanding*

I AgreeI Do Not Agree
Should be Empty:

The Right Turn Defensive Driving Class Registration Form