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You must first pay for the class here. After you have paid, please fill out this registration form.

Name*

Please type your name correctly - whatever you list in these boxes is what will be printed on your certificate

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Last

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Email address*

Driver's License State*

Driver License ID Number*

Date of Birth*

Phone*

Class Date*

Select the class date that you are interested in taking.

Street Address*

City*

State*

Zip Code*

Reason for taking this class?*

Have you paid for the class?*

You must first pay for the class here. After you have paid, please fill out this registration form.

Question or Comment?

By checking this box, you agree to the terms of registration, school policies, payment amount, no refund policy and all classroom rules*

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Questions or help with online registration? Call (540) 775-7775

After hours or emergencies? Call (540) 809-7046 or email [email protected]