Application

This is the Adult Waiver Application. It's very similar to Driver's Education except it is just for people 18 and older. If you have ever taken the classroom portion in the past you only need to select the Behind the Wheel option below. If you haven't taken the class select the Both option below so we know to send the login credentials for the online class and lets us know to call you and schedule the days for Behind the Wheel.

Name*

First NameLast Name

Previously taken the Classroom Portion*

NoYes

Which Session*

Online ClassBehind the WheelBoth

Student Information*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

If online class was selected please use e-mail you want to receive the login information.

Phone Number*

Area CodePhone Number

Date of Birth*

MonthDayYear

Learners Permit

School Attending

My Products

Online Class$250.00

Quantity

Behind the Wheel$350.00

Quantity

Both$600.00

Quantity

Enter coupon

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Signature*

Type a question