Traffic School Registration Form (English)

Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Date of Birth Date of Birth / MM / DD YYYY
Case / Docket #
Driver's License Number
Driver's License Class

(Most people have a class "C" license.
Court City
Court Code
Class Date
Payment Information

The traffic school fee is $40. Cash or check, it needs to be paid at the time of the class. If paying with cash please bring the exact amount. Classroom 3112.
Please bring your driver license and case number to the class.