Advanced Classroom Registration Form
To register for a classroom session with Advanced Driver Training, please fill out the below online form and then click the SUBMIT button found at the bottom of the form.
Thank you for choosing Advanced Driver Training for your driver education training needs.
Please check the classroom session you want to register for:
1708 - September 18, 2017 - October 18, 2017 (M,T,W) from 4 p.m. to 6 p.m.
1709 - November 13, 2017 - December 13, 2017 (M,T,W) from 4 p.m. to 6 p.m.
Student's Legal Name:
Please provide the student's legal First, Middle, and Last name. Name should match the student's birth certificate.
Student's Home Address:
State / Province / Region
Postal / Zip Code
Parent or Legal Guardian Name:
Parent/Guardian Phone Number:
Please provide a phone number where the student's parent/guardian may be contact.
Email Address of parent/legal guardian:
Student's Email Address that will be used during the course.
Student's Cell Phone Number:
Please provide the student's cell phone number if they have a cell phone. This number will be used by Advanced Driver Training to contact the student if a change needs to be made in a scheduled in-car training lesson.
Is the student able to receive text messages at the Student's Cell Phone Number provided?
Student's Date of Birth:
Name of High School student attends:
Is there any other information you think Advanced Driver Training needs to know about the student: