You are registerning with All American Driver Improvement, for a VIRTUAL-live streamed class.

Classroom classes are canceled until COVID 19 restrictions are lifted.

Complete the form ENTIRELY and ACCURATELY.

You will recieve class preparation instructions in a later email.

Reason for Class->	Why are you taking this class?	8hr TN-Points-Suspension-Reinstatement 4hr County or City Judge - prevent points 8hr County or City Judge - prevent points 4hr Out of state ticket-explain - comments 8hr Out of state ticket-explain - comments Other reasons-explain in comments
Choose Class Date	chosen date to attend the virtual class	Dec 05 virtual class Dec 12 virtual class Dec 19 virtual class Jan 09 virtual class Jan 16 virtual class Jan 23 virtual class Jan 30 virtual class
FIRST name
FULL - MIDDLE name
LAST name
Date of Birth		Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1937 1938 1939 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
Driver's License Number
State where Licensed ??
Cell # for class reminder		- -
Back-Up Phone		- -
Student's Email for class	must be a good e-mail address to receive your confirmation message
Comments:	explain or enter your comments here
Security (CASE sensitive)	enter security code (CASE sensitive)