Registration

Registration / Driving Course Form

Please fill in the details clearly. Your certification will be emailed to you.

First Name

Last Name

Street number and Street Name / Apt or Unit #

City

Postal Code

Province/Region

Telephone #1

Telephone #2

Driver's Licence #

Licence Expiry

Email Address (certification will be emailed here)

Package Type

Class Type

Transmission

Automatic (10 hrs) Manual (12 hrs)

Theory Test

Theory Test 20 Theory Test 30

Course Fee ($/mo)

Amount Paid ($)

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 and the MTO Course Inspector.
To be CERTIFIED: you must successfully complete the entire course, consisting of 20 hours of theory and 10 hours driving. This includes passing your theory tests, your driving evaluation and completing your Student Workbook.
To CANCEL A DRIVING LESSON, please notify your instructor 24 hours in advance. IF YOU MISS A LESSON OR CANCEL LATE, you will be CHARGED $30.00.
You have 6 months to complete your course. Your course expires:

I have read and understood the above contractual terms and conditions, I agree to abide by them.

Signature

Date

Office use: Ottawa Driving School Inc. / Five Stars Driving School Inc.

Registration / Driving Course Form