Thank you for registering with To Help People Drive Safely

1. Fill in your information

2. Enter the Security code

3. Click the "Submit Form" -only ONE TIME

4 or 8 hour class	* Choose 4 or 8 hour for a citation or 8 hour ordered by State for excessive points	4 hour class to prevent points! 8 hour class to prevent points! 8 hour class ordered by the State! Other-explain below!
Chosen Class Date	* Indicate month and day of class
Chosen Class Location	* chosen city location of class	Jackson Memphis Nashville Clarksville
4 hour students only	city, county or state where your ticket was issued
FIRST MIDDLE LAST NAMES (no initials)	* must have Full Name for your certificate
Date of Birth	* month/day/year
Drivers License # & State	* needed for your certificate
Cell phone for text class reminder	* Enter cell phone for a text message One day before class.
Back-up phone cell/home/relative	* back-up phone number
E-mail address	* must be a good e-mail address to receive your confirmation message
Comments	explain or enter your comments
Security Code	* enter security code below