All applicant's MUST submit a signed Consent Agreement on the 1st day of class.
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* - Denotes that it is a mandatory field.
Applicant's name as it appears on Drivers License:*
Applicant's Drivers License Number:*
Drivers License Expiry:*
Date of Birth:*
Course Date:*
Classroom City:*
Contact Phone Number (home):*
Cell Number:*
Address:*
City / Postal Code:*
Highschool:*
Email Address:*


AAPEX Driving Academy would like to confirm your placement in the requested class. There is no obligation, a representative will call your home a few days before the class begins. We will confirm details of the program and answer any last minute questions or concerns you may have. No payment is required at this time but please contact the office should you be unable to attend. This will allow us to release your reservation to another applicant. We thank you in advance for your co-operation and welcome you into our program.