REGISTRATION FORM
Control Driving Skills - ( The Bob Joynt School )
Print and Mail to with Payment.
406 Sturgess Road,Smiths Falls. K7A 4S7
Let us know by e-mail when you are sending this form. Thank You.
*************************************************************
The Bob Joynt School ( "Location" )

1779 Nolans Road (off Rosedale Road). Montague
*************************************************************
Name__________________________________________ Age _________

Address: ________________________________________

___________________________________________

__________________________________________________

City : _____________________________ Postal Code: ___________________

Drivers Licence #: ____________ -______________ -___________ / Expiry Date: _____/______/_____

Phone: (___)__________________ , ( Cell ) (___)____________________

email: ____________________________________

Prefer contact by email or phone.: ____________________________________

Referred By ( Name ) : ____________________________________________

Preferred Date's: _______________________________________

Signature ______________________________________

Guardian's Signature if under 18 years old : __________________________________________

***Open toes or Shoes without heel support / strap not acceptable or allowed.***

Class Date Confirmed with Payment
100% refundable if cancelled 14 days prior to Class / 75% Refundable within 14 Days of Class / 50% Rescheduling Fee within 3 days of class cancellation!
***"NO - SHOW ON DAY OF CLASS" - NO REFUND !! & REREGISTER !!***
"Please make Cheque / MO payable to" - "Bob Joynt"