CHANGE CLASS DATE

1
Change Disclaimer* This field is required.I understand that any and all changes are subject to approval. I understand that this is not confirmation of any changes, and just a request for a change. You will be notified whether your requested is approved or denied within 4 working days. Availability is subject to availability at the time the request is reviewed. I understand that NOLA Driving Institute requires a minimum 14 day notice for class reschedules. WE WILL NOT RESCHEDULE CLASS WITHOUT A 14 DAY NOTICE. Class reschedule fee is $25.00. Upon approval of request you will receive a link to pay the fee.
I agree
2
Name* This field is required.
First Name
Last Name
3
Student's Phone Number* This field is required.
Please enter a valid phone number.
4
Parent's Phone Number* This field is required.If 18 or older please just enter 000-000-0000
Please enter a valid phone number.
5
Email* This field is required.
example@example.com
6
What location are you currently registered for?* This field is required.
Please Select
Please Select
Metairie
Norco
Laplace
Lutcher
7
What age range are you in?* This field is required.
Please Select
Please Select
17 or Younger
18 or Older
8
What day are you schedule to come to class?* This field is required.If 17 or younger select the first day of class.
Date
Year
Month
Day
9
What location would you like tor reschedule for?* This field is required.
Please Select
Please Select
Metairie
Norco
Laplace
Lutcher
10
What day class date would you like to be moved to? * This field is required.If 17 or younger select the first day of class. This is scheduled to availability
Date
Year
Month
Day
11
What is the reason for the class reschedule?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
12
My Products* This field is required.
prevnext( X )
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Class rescheduling fee.Fee must be paid to reschedule class.
$25.00Edit
Back
Total cost $0.00
13
Payment Methods
Debit Or Credit Card
Select PayPal Method
Please click one of the PayPal options to complete payment and submit the form.
Should be Empty: