4 Hour Defensive Driving Class

First Name *

Last Name *

Date of Birth *

License Number *

Email *

Phone *

Address *

City/Town *

State *

Zip Code *

I consent to my submitted data being collected and stored as outlined by the site AND I agree to the terms and conditions of attending the 4 Hr Court Class and 8 Hr Driver Improvement Class. PLEASE NOTE: REFUND POLICY: There are NO REFUNDS for the class for any reason, but students may transfer one time to another class date. If the student is not logged in to the class on ZOOM on time, they will not be able to JOIN the class. And there will be No Refund.

I consent to the use of my provided contact information for communication purposes.