CDIC Registration Form

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Attendees Name* This field is required.
First Name
Middle Name
Last Name
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Attendees Information* This field is required.Please carefully fill in the details below.
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Phone Call
Email
Text
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Zip code
Driver’s License Number
Date of Birth
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Photo Identification* This field is required.Upload a clear copy of your DMV-issued Driver's License, Learner's Permit or ID. Note: If you have not obtained a form of identification or it has been removed by the court or DMV, please upload a copy of the DMV paperwork provided and share a photo ID with instructor for identification.
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Do any of the below statements apply to you (as listed on 'Executive Order Fifty-Five 2020')?* This field is required.a. visited China, Iran, South Korea, any European countries, or any other high-risk countries identified by the CDC in the previous 14 days; b. traveled domestically within the United States where COVID-19 has sustained widespread community transmission; c. been asked to quarantine, isolate, or self-monitor by any doctor, hospital, or health agency; d. been diagnosed with, or have had contact with anyone who has been diagnosed with, COVID-19; e. a fever, cough, or shortness of breath; or f. resided with or been in close contact with any person in the above-mentioned categories.
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Reason for Attendance* This field is required.Please select the course that is applicable to your reason for attendance.
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Court-Appointed for Dismissal or Reduction
DMV Ordered (By Mail or In-Person [Compliance Summary])
Volunteer for Positive Driving Points
Volunteering Prior to First Court Date
8-Hour Driver’s Manual / 3-Test DMV Failure (18+)
Driver's Education / Re-Examination (3-Test DMV Failure)
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Requested Driver Improvement CourseDuring COVID-19, Driver Improvement classes continue to be held every Monday, Wednesday and Saturday. Doors open for each course at 8:30 am on the day of class and certificates will be received on the same day. Note: While registrations are not required and walk-ins are accepted, paid online registrations will receive priority until our class max is reached.
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Requested 8-Hour Driver's Manual CourseCDIC’s one-day, 8-Hour Driver's Manual class will be offered on the second Friday and the third Sunday of every month during COVID-19. Doors open for this course at 8:30 am on the day of class and certificates will be received on the same day. Note: While registrations are not required and walk-ins are accepted, paid online registrations will receive priority until our class max is reached.
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36-Driver's Education Classroom Instruction / Re-Examination (3-Test DMV Failure)For those under the age of 18 who either need to take the classroom portion for Driver's Ed and/or who have failed the learner's permit test three times. CLASSES ARE BEING HELD JULY 20TH - JULY 30TH FROM 2PM - 6PM.
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Additional Questions?
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My CoursesChoose your course below. Note: While payment is not required at this time, paid online registrations will be prioritized until the class maximum size is reached.
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ORDER SUMMARY
Total costUSD
Driver Improvement (Court and DMV-Approved)
The defensive driving course as ordered and/or accepted by the court, DMV, or insurance company.
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8-Hour Driver's Manual (3-Test DMV Failure)
For those OVER the age of 18, who have failed the learner's permit test three times.
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36-Driver's Education Classroom Instruction / Re-Examination (3-Test DMV Failure)
For those under the age of 18 who either need to take the classroom portion for Driver's Ed and/or who have failed the learner's permit test three times.
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Disposable Face Mask
Reminder: Face masks are required during class. Feel free to wear your own or purchase one with your order.
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Total cost
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