DTW Driving School, 4625 W. Broad Street, Richmond, VA 23230
Test Re-exam Courses
Registration: Driver Improvement Clinic - Classroom
Do not take this course if you failed the DMV written test 3x and need to take a course before taking the DMV written test again
DATE OF BIRTH
VA LICENSE OR ID #
REASON FOR TAKING THE COURSE
(On your VA DMV compliance or from correspondence from the VA DMV that you need to take a Driver Improvement Clinic)
(Please contact your car insurance provider before taking this course)
Court ordered WITHOUT safe driving points
(If you do not have any documentation from the Court stating that you will get safe driving points, then choose this option)
Court ordered with safe driving points
(If you have documentation from the Court stating that you will get safe driving points and can present the document the day of the class, then choose this option)
(Upon successful completion, you will receive 5 Safe Driving Points)
WHICH CLASS DO YOU WANT TO SIGN UP FOR?
- please select -
September 19, 2020 - 8:30 a.m. to 5:00 p.m.
October 17, 2020 - 8:30 a.m. to 5:00 p.m.
November 21, 2020 - 8:30 a.m. to 5:00 p.m.
December 12, 2020 - 8:30 a.m. to 5:00 p.m.
All classes are on a Saturday, from 8:30AM-5:00PM, please arrive 15 early and bring a lunch.
METHOD OF PAYMENT:
Pay online through Paypal (preferred)
Pay in person at 4625 West Broad Street
Pay over the phone by calling 804-918-6634
I hereby verify that the information on this registration form is accurate. By signing, I am agreeing that Drive-To-Work and DTW Driving School may use my first name (only) and my photograph for any materials published.