Online Course Registration

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How did you hear about us?
Students MUST receive their TIP Cards at least 2 weeks PRIOR to the first day of class.
The cost of an additional 8 Hours of Behind-the-Wheel instruction is $350.
Student's Address
Date of Birth
Legal Domiciliary Parent/Guardian's Address
Legal domiciliary parent/guardian's name:
Does student wear glasses or contacts?
Do you give your permission for immediate medical treatment as required by the judgement of the attending physician: