You are registerning with All American Driver Improvement, for a virtual-live streamed classroom.  Classes in a classroom setting are canceled until the COVID 19 restrictions are lifted.

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

Your Reason for Class-> 4 or 8 hour	Why are you taking this class?	8 hr Reinstatement-Excessive points TN Dep-Safety & HS 4 hr County or City Judge to prevent points 8 hr County or 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)
4 hour students-Indicate court (city or County) where your citation is being heard.
Choose Your Class Date	chosen date to attend the virtual class	Sep 26 virtual class Oct 03 virtual class Oct 10 virtual class Oct 24 virtual class Oct 31 virtual class Nov 07 virtual class Nov 14 virtual class Nov 21 virtual class
FIRST name
NO initials- 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 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 License Issued
Cell phone for text--class reminder		- -
Back-Up Phone		- -
Student's Email for ZOOM link and reminder	must be a good e-mail address to receive your confirmation message
Comments:	explain or enter your comments here
Security Code (CASE sensitive)	enter security code (CASE sensitive)