Apple Valley Driving Schools
Driving School Registration Form

Wolfville, Nova Scotia

902-698-2332

Email: info@applevalleydriving.ca

 

 

HOME | ABOUT US | OUR SERVICES | CLASS DATES | COSTS | FAQs | LINKS | CONTACT US

 

Last Name:
First Name:
Home Phone:
Cell Phone:
Preferred Classroom Start Date: Leave blank if unsure
Email Address:      
Date of Birth:      
         
School:      
Home Address:      
Town / Village: Postal Code:    
         
NS Class 7L Learner's Already: No Yes Issue / Renewal Date:
Master (File) Number: Your Driver's License Number
Parent(s) Name: If applicable  
 
         
Do you have access to a car at home or practice? No Yes standard auto
Have you been driving? Yes If so, how much and what type of driving? Barriers to driving?
 
Medications:        
Are you taking any medications which may affect your abilities when driving? No Yes
If so, please indicate:
         
Height:  
Glasses / contacts for driving? No Yes  
         
NOTES:        
Best times for driving lessons? Days of week, times?
Work (if applicable):
Sports, Teams, Music, Drama, other (if applicable):
         
PAYMENT OPTIONS:
See costs page for lists of prices: click here to open list of costs in new browser window
         
PLEASE SELECT PAYMENT METHOD: (please check one)
Cheque Cash E-Transfer
         
* Please note: There is no payment through this website. Please contact office to arrange payment method by:
cheque or cash: 902-698-2332 (voice / text). E-transfer payment payble via info@applevalleydriving.ca
 
Best Number to call: Best Time to call:
         
How did you hear of Apple Valley Driving?:      
 
         
Other notes or Questions:      
 
By what date would you ideally like to be fully licensed and circumstances dictating this:  
 
     

Driving Training School Licence # 854802766 NS0001

______________________________________
Good driving is NO accident!