Road Test Scheduled Date (required + two weeks from now)
Road Test Scheduled Time (required)
Road Test Location (required)
Road Test Type (required) G1G2Senior
First Name (required)
Last Name (required)
Address (required)
Phone (required)
Your Email (required)
Guardian Email (if applicable)
Driver's License Number including dashes (required)
Driver's License Issued Date (required)
Driver's License Expiry Date (required)
Upload a copy of your Driver's License (image/pdf, size limit 10MB) (required) ** Please allow time to upload large file. Do not close window till submission is completed **
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Please Sign (* By signing, I accept, acknowledge and agree to all the above information.)
Signed Date (required)