Driver's Education Classroom Only Registration 2023

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Insurance Reduction Course/Learner's Prep Classroom session

Our classrooms options are recognized by Alberta Transportation and a classroom completion certificate will issued after successful completion upon request. If the student wishes to enroll for the Insurance Certificate Course within 2 years, they do not have to redo the classroom portion of the course and the classroom completion certificate will be recognized by any certified driving school in Alberta.

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Student Name

First Name

Middle Name

Last Name

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Parent or Guardian Name (if Student is under 18 years of age):

First Name

Last Name

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Registration Date

Date

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Student Information

The information on this form is collected in accordance with Alberta's Personal Information Protection Act (PIPA). Please see our website at www.archersbluecar.ca for our full privacy policy.

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Student's Phone

Area Code

Phone Number

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Phone is my:

Home

Cell

Work

Other

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Contact E-mail This email address will receive confirmation and reminder emails

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Classroom Options:GST Included

In person 15 Hours Classroom Session at NAIT $55 June 03-04

In person 15 Hours Classroom Session at NAIT $55 July 08-09

Online 15 hours self-paced course $95

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I Plan to pay by:

Interac E-Transfer (preferred)

In-Person debit card (in-person classroom only)

In-Person Cash (in-person classroom only)

Online Visa, Master Card, PayPal. (2.4% will be added to the total price)

In-Person Visa, Master Card (2.4% will be added to the total price, in-person classroom only)

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Total price, GST included:

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Is the person paying the same as the student registering

YESNO

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Name of the person paying

First Name

Last Name

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Email

example@example.com

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Phone Number

Area Code

Phone Number

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PLEASE add office@archersbluecar.ca to your email senders list, otherwise the confirmation email we send may go to your junkmail folder. If you register online and have not received a confirmation email from us within 24 hours, please check your junkmail folder and/or contact us by email at office@archersbluecar.ca or by phone/text at (587) 990-2583.

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Do you have any questions or comments?

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* This field is required.

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