Education Classroom Only Registration 2024

1

Insurance Reduction Course/Learner's Prep Classroom session

Theory classes only. For Insurance Reduction Certificate courses with In-Car lessons, please register using the Premium or Value lessons registration forms.

Our classrooms options are recognized by Alberta Transportation. If the student wishes to enroll for the Insurance Certificate Course (ie: complete in-car lessons) within 2 years, they do not have to redo the classroom portion of the course. Full attendance and a written test score of 80% or higher is required for completion.

The classroom completion certificate is fully portable and will be recognized by any certified driving school in Alberta in the event that you have already done, or plan to do, in-car training elsewhere. Completion certificate is automatically sent for online theory students, Archer's in-person students just need to request it from the office.

2

Student Name

First Name

Middle Initial

Last Name

3

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

First Name

Last Name

4

Registration Date

Date

5

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.

6

Student's Phone

Area Code

Phone Number

7

Phone is my:

Home

Cell

Work

Other

8

Contact E-mail * This field is required.This email address will receive confirmation and reminder emails

9

Classroom Options:GST Included

Yes, In-Person Classroom at NAIT $65 November 02-03

Yes, In-Person Classroom at NAIT $65 January 11-12

Online 15 hours self-paced course $95

10

I Plan to pay by:Please note: all In-Person payment options do require a $10.00 deposit by e-transfer

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)

11

Total price, GST included:

12

Is the person paying the same as the student registering

YESNO

13

Name of the person paying

First Name

Last Name

14

Email of the person paying

example@example.com

15

Phone Number

Area Code

Phone Number

16

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.

17

Do you have any questions or comments?

18

* This field is required.