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STUDENT ENROLLMENT
Registration Form
Student Name
Today's Date
Street Address
City
Postal Code
Province
Country
Home Phone
Email
Parent/Guardian's Full Name
Cellular Phone
Date of Birth
Parent/Guardian's Phone Number
Current Driver's License Class
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Select Package
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GDL License / Permit Number
Question/Note for Your Instructor
I have thorougly reviewed the Driver Training Agreement and will abide by the terms contained.
Click to review the Driver Training Agreement.
Student Signature
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Parent/Guardian Signature
(If applicable)
Submit
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