Register for a class



- Printable Registration Form (PDF) -
EQUIP Driver Education Registration Online Submit Form


Class Location:
Class Dates and Times:
Student's Full Legal Name:
(PRINT clearly as it appears on Birth Certificate)
Date of Birth:
Student Cell #:
Text:
Parent/Guardian Name #1:
Phone #:
Text:
Parent/Guardian Name #2:
Phone #:
Text:
Email
Address:
City
Zip:
School Name:
Referred by
(mailer, website, sign, person first/last name)
Questions/Comments:





Payment required with Registration. Pay in full or partial classroom payment (minimum $50). REFUND POLICY: Registrations that are cancelled prior to class starting are subject to a cancellation fee of $10 to cover credit card refund process. All refunds must be requested in writing.



Thank you!