Sign Up

NOTE: This is pre-registration only. If you submit this form, you do not have to commit to the program. We will simply save you the next available seat and get back to you with dates / times.

Fields marked with * are mandatory.

CONTACT INFORMATION

* First Name

Middle Name

* Last Name

* Address

* City / Community , PEI

* Postal Code

* Home Phone

Cell Phone

E-mail

OTHER CONTACTS

Please provide at least one parent or guardian name and phone number if under the age of 18.

Mother's Name

Mother's Phone

Father's Name

Father's Phone

Other Emergency Contact - Name

Other Emergency Contact - Phone

PERSONAL INFORMATION

Height

Eye Colour

* Date of Birth (DD/MM/YYYY)

Gender

Do you have your beginner's permit yet?

Yes

ADDITIONAL INFORMATION

Preferred Course Location

Additional
Questions / Comments

* How did you hear about Abegweit Driving School?

Submit

If you wish to sign up for our driving course, please fill in and submit the Signup form.

Before you submit the form, please read our Privacy Policy below. If you have any questions or concerns regarding the Sign up form, or our Privacy Policy, please do not hesitate to contact us.

Privacy Policy

We respect your privacy! Any and all information collected on this website will be kept strictly confidential and will not be sold, reused, rented, disclosed, or loaned to any third party. Any information you give to us will be held with the utmost care and will not be used in ways that you have not consented to.