Metairie Formulario de registro en español para mayores de 18 años

Metairie Formulario de registro en español para mayores de 18 años

You must have a Temporary Instruction Permit on the day of class. It is not required to register. Please present it to the instructor at check in.
CID NUMBER
Date*

MonthDayYear
Date
Pick a Class Date*
All Classes are 8:30 am - 3 pm
STUDENT INFORMATION
Name*

First NameLast Name PLEASE INCLUDE ALL LAST NAMES
Date of Birth*

MonthDayYear
Date
Address*

Home Address

Street Address Line 2

CityState

ZIP Code
AGE*
Student's Email*
example@example.com
CONTACT PHONE NUMBERS
Home Phone
Student Cell*
Driving Experience*

NoneSubdivisionParking LotRural RoadsIn TownHighwayInterstate
Temporary Instruction Permit Number
TIP Issue Date

MonthDayYear
Date
Please submit an upclose picture of your temporary instruction permit
class type
Date*

MonthDayYear
Date
Type a question
Classroom Fee
Behind the Wheel Fee
Total Fee
Deposits are only for the date of the class scheduled by the student. Notice of class reschedule must be give 14 days prior or $100.00 deposit will be lost. Classroom portion of class $500, Driving Portion of the Course $160.00 Total cost of course $660.00. The Driving Portion must be completed within 4 months of passing the written test. If not completed the student will have to retake the course at their expense.

I agree and still want to take the course.
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Pay Deposit$100.00
El depósito no es reembolsable. El costo es de $500 para la parte del aula y de $160 para la parte de conducción. Eso es un total de $660. La prueba de habilidades viales no está incluida en esta tarifa y debe programarse una vez que se completen las 8 horas de conducción. La matrícula debe pagarse al momento del check in para asistir a clase....

Total $0.00

Pay with Credit Card

Debit or Credit Card

Should be Empty:

Metairie Formulario de registro en español para mayores de 18 años

STUDENT INFORMATION

CONTACT PHONE NUMBERS