You are registerning with All American Driver Improvement, for a webinar type virtual classroom setting.  In the classroom classes are canceled until restrictions are lifted.

Please complete the form completely and accurately.   You will recieve class preparation instructions in a later email.

Choose Your Class-> 4 or 8 hour	Choose Your Class	8 hr Excessive points / Reinstatement (Ordered by TDOSHS) 4 hr (Ordered by County / City Judge to prevent points) 8 hr (Ordered by County / City Judge to prevent points) 4 hr out of state tickets or other (explain in comments) 8 hr out of state tickets or other (explain in comments) Other reasons-(explain in comments)
Choose Your Date to Attend	Indicate class date chosen from previous page	Jun 06 Jun 13 Jun 27 July 11 July 18
TDOSHS requires Full Name - first middle last	must have Full Name for your certificate
Month/Day/Year of birth	mm/dd/yyyy-must have for your certificate	MO Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec DA 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YEAR 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
DL # / State where issued for your certificate	Must have your drivers license number and state where issued for your certificate
Cell-Phone-Text Reminder 2 days before class	Enter your cell phone for a text message One day before class.
Back-up phone # cell/home/relative	back-up phone # cell/home/relative
Student's Email Address	must be a good e-mail address to receive your confirmation message
Comments: If taking a 4hr class, in which city or county is your court?	explain or enter your comments here
Security Code (CASE sensitive)	enter security code (CASE sensitive)