All fields are required.

Student Name:

Home Address:

Pick up at: HomeOther

Training Program: (Multiple can be chosen) Class 5 - Insurance Premium Reduction Course (in class or online class + in-vehicle) ($550 + GST)In-class or Online Training only - $75 + GSTHourly Lessons - $50 + GST (2 hour minimum)Car Rental for Road Tests $75 + GST

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:

1. Minimum 24 hour notice required for cancellation. Late cancellation will cost $100. Cancellation notification to be sent via text to (780) 904-4648

2. Students must have a valid license with them during the lessons. A photocopy or picture will not be acceptable. A $100 fine shall be applicable if the student does not have a valid license with them.

3. Student is liable for any traffic violations during training.

4. Full payment is required prior to any training. Payment can be made via: e-transfer, money draft, certified check or cash.

5. Training programs must be completed within 3 months from registration.

6. If the certificate of completion is lost by the student within 2 years from registration, a duplicate copy shall be provided at a cost of $50+GST.

7. There are no guarantees that the student will be successful in their exams after training.

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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