All fields are required.
Student Name:
Home Address:
Pick up at: HomeOther
Training Program: (Multiple can be chosen) Class 5 GDL - Insurance Premium Reduction Course (in class or online class + in-vehicle) ($550 + GST)Class 5 Non-GDL - $350 + GST (6 hours in-vehicle and 15 hours in-class or online)Class 5 GDL - 10 hours in-vehicle training. ($500 + GST) (In-class or online class is not included)Advance Training ($550 +GST)Hourly Lessons ($50 + GST)In-class or Online Training only - $75 + GSTHourly Lessons - $50+GST (2 hour minimum)Car Rental for Road Tests ($60 +GST for standard test, $80 +GST for advance test)
Gender: MaleFemaleOther
Phone Number: Persons under 18 are required to provide parents phone number as well
Current Drivers License:
Issued: Expiry: Date of Birth: Student Email: A copy of this registration form will be emailed to you.
Terms of Conditions:
Enter your name in full to confirm that you accept these terms. If you are under 18, than your parent or guardian must see these terms and put their name below
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