Driving Packages Registration form

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This registration for a gift voucher

CHOOSE THE PACKAGE YOU WANT TO BOOK

Bronze (Basic) New Driver Education Course In-Class. Inc. 10 hours in car.

Silver New Driver Education Course In-Class. ( Basic +5 lessons in car )

Gold New Driver Education Course In-Class ( Basic +10 lessons in car )

Platinum New Driver Education Course In-Class ( Basic+15 lessons in car )

Choose a date to start your Driver`s Ed Course

Online Course. Saint John, Quispamsis, Rothesay. May 18, 2024

Online Course. Moncton. May 25, 2024

Select an option for the learning method

Online Ed. Course

Please enter student`s name (exactly as on Birth Certificate or your passport)

Enter student`s birthday

Enter student`s Email

Enter student`s cell phone number

Enter student`s address

Parent / Guardian Name. (For students under 18)

Parent/Guardian Phone number (For students under 18.)

Parent / Guardian Email (For students under 18.)

Enter your Emergency contact name ( if not a student`s parents)

Enter your Emergency phone number (if not a student`s parents)

Please indicate your status if this applies to you

I am a high school student

I am a college student

I am a university student

I am a new immigrant

Enter the name of your school. (This information is randomly checked)

Please indicate if you have a driver's license in New Brunswick

7-1

7-2

5

I have a driver's license from the country I came from

I don't have a license

Payment method. Choose the one that is convenient for you.

I am willing to pay the full amount by March 31 and would like to receive a $50 early bird discount.

I want to use the payment plan and I`m willing to pay 50% of the course. I will pay the other half of the cost within a month.

I want to use the payment plan and I'd like to pay a $300 deposit. The remaining balance I'd like to pay during next Month by two payments.

I have read the refund policy and agree that the payment is refundable in case of cancellation at least one week before the start of classes. After payment is non-refundable.

I fully agree with the terms of the refund.

Disagree, I decided not to take this course

I confirm that I have read and agree with the terms and conditions and return policy on this page: https://www.youngprodrivers.com/refunds-policy/ Terms and Conditions

I agree with the terms and conditions.

I disagree with with the terms and conditions.

I understood all the details of the online course and everything suits me

Send me an invoice for payment

I changed my mind and will not take this course

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Choose your package

Beginner Driver Education Course Online. Gold Package

Beginner Driver Education Course Online in Moncton. Gold Package