Beginner Driver Education

Making drivers safe for life!

Beginner – Haliburton

$799.00 +HST
Terms & conditions – please read

Registration Form

Student First Name

Last Name

Student Email

DOB (register for course no more than 3 months prior to 16th birthday)

Student Phone

Address

City

Province

Post Code

Country

G1 License#: (write N/A if you don't have G1 yet)

G1 date of issue (write N/A if you don't have G1 yet)

G1 date of expiry (write N/A if you don't have G1 yet)

Parents Name

Parents Email

Home/Other Phone

Name of High School attending

Driving School Location

Comments

Accept Terms & Conditions

Terms & Conditions Beginner Driver Education
I certify that the statements in this document are accurate and consent to the release of any information contained herein to the Ministry of Transportation, Insurance Bureau of Canada and the MTO Course Inspector.