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.
Email address *
Choose a course date to attend. *
What is your reason for attending? *
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? *
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. *
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. *
Any questions or comments?
How did you find out about our school? *
A copy of your responses will be emailed to the address you provided.
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