Enrollment Form

Please complete the following enrollment form.  Please note that the * indicates required field.

I have read and answered the questions to the best of my ability. I understand that the deposit is non-refundable, non-transferable and if a cancellation or scheduling change is requested within 72 hours of the scheduled date, there are rescheduling fees as follows: $50 rescheduling fee for driving sessions, Car Control Clinic, no refunds if cancelling the Permit Preparation Class. I have read and agree to the cancellation policy and understand that by checking the box and entering my name as an electronic signature below, this is a contractual and legally binding agreement.

Credit Card Details
*Credit card fields will be required on enrollment. We accept Visa, MC, Discover and American Express. The credit card will not be processed until dates have been scheduled.
Student Information
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