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21 Brock Street East, Unit 2, Tillsonburg, ON

N4G 1Z4 ParkerRight.ca

(519)-983-8466

COURSE ENROLLMENT FORM 2019



 The Ministry of Transportation approved Driver’s Education Course consists of a minimum of 20 hours of classroom time, 10 hours of home-link(workbook) and a minimum of 10 hours of in-vehicle instruction.


Regular attendance is essential for both classroom and in-vehicle training.  Failure to attend any of the classes could result in a delay in completing this course. (Ministry Regulations) We reserve the right to dismiss any student from this course, in the event of failure to attend classes and/or where a student causes a distraction or disturbance in the class, with no refund.  There will be a minimum class size of 5 students.


Upon successful completion of this course, the student will be certified on-line:  The Drive Test Centre will have access to this information for road test purposes.  Furthermore, should it be required, a Driver’s Licence History is obtainable from Service Ontario, for a fee, for possible insurance discount purposes.


If you wish to enroll in one of the Parker Right Driving Academy courses, please enter the course number and complete the form below, and send with a $200.00, non-refundable deposit made payable to Parker Right Driving Academy.  Also, register online.  The balance will be collected on the first day of If you have any questions or concerns please call 519-409-8466/519-983-8466 (Cara Parker), I will be happy to speak with you.

CLASSROOM COURSE LOCATION:

21 Brock Street East, Unit 2, Tillsonburg, On., N4G 1Z4 (NEW ADDRESS) E-Mail--- [email protected]
**COURSE FEE (Includes 10 hours in-car, max 2 hours per session)**
COST $637.16 + HST =$720.00

NEW T65B  March Break Weekend(Sat/Sun/Sat/Sun)

10am-3:45pm (4 days)

March 14, 15 & 21 & 22, 2020

T66   Evenings (Tues/Thurs)

5pm-7:45pm (8 evenings)

April 21,23,28,30 & May 5,7,12 &14, 2020

T67   Weekends (Sat/Sun)

10am-3:45pm (4 days)

June 13,14,20 & 21, 2020

T68   July Weekdays (M/T/W/T)

10am-3:45pm (4 days)

July 6, 7, 8 & 9, 2020

T69   August Weekdays (T/W/T/F )

10am-3:45pm (4 days)

August 4 ,5, 6 & 7, 2020


Payment Plan Available Upon Request
Students need to bring writing materials and Driver’s Handbook to classes. Fast Tracking may be available to complete driving time within 31 days
(IF experience requirements are met) an additional $125. + HST ($141.25) applies.

STUDENT FIRST NAME
STUDENT MIDDLE NAME
STUDENT LAST NAME
Date of Birth(Student)
date_range
Course Numbere.g , T60, T61, T62
Parent's Name
Telephone (Parent’s)
ADDRESS
CITY
Province
Postal Code
High School Registered at:(If applicable)
DRIVER’S LICENCE NUMBER:(If applicable)

You do not have to have a Driver’s Licence to start this course, however, the whole course must be completed within 12 months.


Do you agree

Parker Right is a subsidiary of 8986029 Canada Inc. HST # 84253 4398 RT0001

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