| Registration Form |
|
| Username: |
|
| Password
|
|
| Confirm Password
|
|
| Choose Course
|
|
| Last Name: |
|
| First Name: |
|
| Middle Name: |
|
| Email: |
|
| Mailing Address |
|
| Line 1 |
|
| Line 2 |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| Daytime Phone Number: |
|
| Evening Phone Number: |
|
| Gender:
|
Male Female |
| Date of Birth: |
|
| Court Due Date: |
|
| County: |
|
| Court: |
|
| Confirm County: |
|
| Confirm Court: |
|
| Case number: |
|
| Confirm Case number: |
|
| Driver's license: |
|
| Confirm Driver's license: |
|
| How did you hear about us? |
|
| If
"Other" please explain: |
|
Security Questions
|
The purpose of the security questions is to provide to school with verify your identity. We will randomly select these questions while you are taking the
traffic school course. We will not distribute, or make any available any of your information to someone else.
|
| What is your favorite sport ? |
|
|
| What's car do you like ? |
|
|
| What is your favorite color ? |
|
|
| How many years have you been driving ? |
|
|
| What is your favorite music ? |
|
|
| How many miles (one-way) to your work or school ? |
|
|
| What country were you born ? |
|
|
| What pet's do you like ? |
|
|
| What's drink do you like ? |
|
|
| What is the color on your eyes ? |
|
|
| What is your hair color ? |
|
|
| What's your weight ? |
|
|
| What is your favorite food ? |
|
Note: We recommend you print out this identity questions before you start the course. |
