Online Driver Education Course

ONLINE EDUCATION: This web based course is available 24 hours a day seven days a week. This 30 hour course meets California's requirement for licensing and is conducted through Driversity Online. The course is supervised by a California licensed driving instructor. Your progress is monitored and questions can be directed to the instructor to answer any questions you may have. Driver education - $45 and one behind the wheel lesson ($144) for East and Central Contra Costa cities. You can also take this course as a stand alone course for $75.00 (anywhere in CA). Once you have submitted this form you will be routed to the IVH tuition page. This course, once completed, will meet the state requirement and allow you to obtain your permit.
   * Student First and Last Name    
* DOB: mm/dd/yyyy
* Gender
   *Address, City, Zip
    , , CA | Zip
   * Phone + Area Code
     
* Cell/Other + Area Code
 
* High School Student Attends:
   * Student    
* Parent e-mail:
   * Parent or Guardian Name    
* Parent / Guardian Phone
* Car Bucks Gift Certificate Number (If any)
   * Course    
Please acknowledge that you have read and the following terms and conditions by entering your initials in the box below.
1 You are enrolling in an online course and is not transferable into any other course.
2 This is an ONLINE course thus, you will be required to communicate via email.
3 You are required to read the instructions sent that contain the information you will need to be successful in the course.
4 You have a 45 day enrollment period to complete the course. Extensions are $25 per 15 days.
5 If you do not apply for an extension of time, your account will be disabled and remain for 30 days. After 60 days your account will be deleted. No extension is offered after 60 days. You will be required to re-enroll in the course.
6 Certificates of completion are only issued upon fully completing the course. *No refunds are offered once you have started the course.
7 If you enroll, pay tuition, do not login, and you change your mind for any reason a $25 administrative fee will be charged for withdrawal.
8 Once you have completed this course, you will receive a certificate of completion which will allow you to obtain your permit. Once you have your permit you will be able to schedule your behind the wheel lesson.
You have read 1-8 above and agree by entering your initials here:    

    *
Student Signature
   
Submit this form once.

Driversity™ is a registered Trademark (USPTO 77956061). May only be used with written permission from David and Rainy Robinson.
Antioch: 516 W. 2nd Street, Antioch, CA 94509 | 925.778.7172 |Concord: 288 Sally Ride Drive, Concord, CA 94520 | 925.691.4440
www.driversity.com | www.driversitydrivingschool.com | www.driversityofantioch.com | www.driversityofconcord.com | www.driversity.mobi