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)
Medical Conditions / License Restrictions (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 **
Terms & Conditions: Please be advised that to cancel any in-car lesson we require at least 48 hours notice to avoid charging the full cancellation fee of $75. The MTO as well has a strict policies and regulations that the student must complete the BDE program within 12 consecutive months..
I acknowledge that I have read and fully understand the above terms & conditions.
Please Sign (* By signing, I accept, acknowledge and agree to all the above information.)
Signed Date (required)