Driver Improvement Course Registration
Please provide all your information below. The information provided will be used to add you to our class roster after payment.
Choose a course date to attend.
Driver Improvement - $70 - Saturday, July 18, 2020 (10am - 6:30pm)
Driver Improvement - $70 - Saturday, August 1, 2020 (10am - 6:30pm)
Driver Improvement - $70 - Saturday, August 15, 2020 (10am - 6:30pm)
What is your reason for attending?
Court required (document must be presented for safe driving points to be awarded)
DMV required (safe driving points awarded except for drivers under age 18)
Insurance discount (no safe driving points awarded)
Volunteer (up to 5 safe driving points awarded)
CDL Court required (document must be presented for safe driving points to be awarded)
CDL DMV required (safe driving points awarded)
CDL Volunteer (safe driving points awarded)
Student First Name
Student Last Name
Date of Birth
You must bring a photo ID for the course. What type of photo ID do you have?
Valid Passport (bring your DMV customer number too)
Government-issued ID (bring your DMV customer number too)
Street Address, City, & Zip Code
Student Cell Phone
To complete your seat reservation, the course fee of $70 must be paid with the submission of this form. Choose one of the methods below for payment.
Cash, Money Order, or Card payment brought to the office. Call (757) 926-5956 to set an appointment for payment.
Card payment by phone at (757) 926-5956
Card payment by invoice sent by email
Card payment through our website
Acknowledgment of Refund Policy: No refund will be issued for missing a class or failing a class. If the class is missed then the course fee must be paid again, course fees will not be transferred to different class dates. In the event that the school is incapable of or unwilling to perform its duty on the date specified, a refund of all fees will be made upon written request.
I have carefully read, clearly understand, and agree to these terms for payment of the course.
Any questions or comments?
How did you find out about our school?
DMV Website or Handout
Flyer or Brochure
Word of Mouth
A copy of your responses will be emailed to the address you provided.
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