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17 Dover Street Chatham Ontario
(519) 352-4425
info@drivewisechatham.com
Drivewise Chatham-Kent
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Info For Parents & New Drivers
Helpful Links for New Drivers
Frequently Asked Questions
Testimonials
Gallery
New Driver Programs
Register & Pay
Driver Training Programs & Pricing
Anti-Texting & Driving Program
G1 SafeStart Driving Course
New Citizens – Driver Training
Seniors Driver Training – DriveWise
Professional Driver Training in Chatham
Remedial & Recurrent Driver Training
Schedule
Safe Start Schedule
Drivewise Driving Simulation
Online Learning
Contact
Home
About
Info For Parents & New Drivers
Helpful Links for New Drivers
Frequently Asked Questions
Testimonials
Gallery
New Driver Programs
Register & Pay
Driver Training Programs & Pricing
Anti-Texting & Driving Program
G1 SafeStart Driving Course
New Citizens – Driver Training
Seniors Driver Training – DriveWise
Professional Driver Training in Chatham
Remedial & Recurrent Driver Training
Schedule
Safe Start Schedule
Drivewise Driving Simulation
Online Learning
Contact
Register And Pay
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Register And Pay
Payment Form
Student Registration Information
Name
*
First
Last
Gender
Male
Female
Birthday
*
Address
*
Street Address
Address Line 2
City
Alberta
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Postal Code
Phone
*
Student's Email
*
Parent / Guardian Information
Parent / Guardian Name:
First
Last
Parent / Guardian Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Parent /Guardian Phone
Parent / Guardian Email
Billing Information
Name
First
Last
Phone
Email
*
Address
Street Address
City
Postal Code
Choose class dates ONLY if registering for the 40 hour program
COURSE #C2521 MON SEPT 8 & WED SEPT 10 3:30PM TO 8:45PM
COURSE #C2522 SAT SEPT 27 & SUN SEPT 28 9:00AM TO 2:30PM
COURSE #C2523 TUE OCT 14 & THU OCT 16 3:30PM TO 8:45PM
COURSE #C2524 SAT OCT 25 & SUN OCT 26 9:00AM TO 2:30PM
COURSE #C2525 MON NOV 10 & WED NOV 12 3:30PM TO 8:45PM
COURSE #C2526 SAT NOV 29 & SUN NOV 30 9:00AM TO 2:30PM
COURSE #C2527 TUE DEC 9 & THU DEC 11 3:30PM TO 8:45PM
COURSE #C2528 MON DEC 22 & TUE DEC 23 9:00AM TO 2:30PM
COURSE #C2529 MON DEC 29 & TUE DEC 30 9:00AM TO 2:30PM
Which Service Package You Are Paying For:
--Select Below--
SafeStart $859.00 HST INCLUDED
SafeStart + Road Test Package $969.00 ($30.00 Savings)
Individual Driving Lessons $70.00
Five Lesson Package $330.00
Ten Lesson Package $675.00
Highway & FreewayPackage $140.00
Senior Safety Check $70.00
Parking Made Easy Package $70.00
G2 (G1 Exit) Road Test Package $280.00
G (G2 Exit) Road Test Package $210.00
Total
$ 0.00 CAD
How did you hear about us?
-- Select below --
Referred by a friend
Radio
Newspaper
Youtube
Search Engine
Facebook
Our terms & conditions must be accepted before completing your form. Please click
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to review.
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