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*
Enter a valid phone number.
Date of Birth*

MonthDayYear
Use attached calendar
Driver License #*
Enter Your License Number
License State*
Email*

Confirmation Emailexample@exampl
Select a Class Type (Note: An Insurance Reduction Certificate can solely be used for insurance purposes):*
CLICK IN-PERSON Defensive Driving Class Date & Time*
Subtotal
Discount
SELECT CLASS LOCATION*

In PersonVirtual
SELECT CLASS LOCATION*

Virtual
Office Use Only
Select a VIRTUAL Defensive Driving Class Date & Time*

STATEMENTS OF UNDERSTANDING

I understand and agree to the following:
1. A course may be In-Person or Virtual Class depending on the scheduled class.
2. This course will start promptly at 9 a.m. and end at 4 p.m. There will be a 1-hour lunch break from 12 p.m. - 1 p.m. I understand that if I am late returning from lunch, the instructor has the right to refuse my entry. If you are removed (In-Person or Virtual), no refund will be given.
3. Refund Policy - No Refunds will be given.
4. Three (3) student registrations 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