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Registration form
Please enter details for the person wishing to learn to drive.
First name
Last name
Email
Phone
*
Birthday
Day
Month
Month
Year
Address
Availability - tick all of the slots you are available for
Monday 0850 1050
Monday 1100 - 1300
Monday 1315 - 1515
Monday 1530 1730
Tuesday 0850 1050
Tuesday 1100 - 1300
Tuesday 1300 - 1500
Tuesday 1515 - 1715
Wednesday 0850 - 1050
Wednesday - 1100 - 1300
Wednesday 1315 - 1515
Wednesday 1530 - 1730
Thursday 0850 - 1050
Thursday - 1100 - 1300
Thursday 1315 - 1515
Thursday - 1530 - 1730
Friday 0850 - 1050
Friday 1100 - 1300
Friday 1315 - 1515
Friday - 1530 - 1730
Sunday 1100 - 1300
Sunday 1315 - 1515
Sunday 1530 - 1730
I am still waiting for my timetable
I work shifts and don't have Regular recurring availability
Who will be Learning to drive?
Myself
Someone Else
The earliest date I can start driving lessons
*
Day
Month
Month
Year
Submit
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