WESTERN DRIVING SCHOOL

Suite 305 Millbrook Mall
Corner Brook, NL

Tel:  709-639-7925

TRAINING REGISTRATION FORM

 
Disclaimer

All information collected by Western Driving School will remain Personal & Confidential. Some information such as names and courses taken may be used to advocate/communicate on your behalf with Government Offices such as Motor Registration Division NL and Members of House of Assembly.   

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Disagree

For all packages of the Novice Driver Education Course, a $200.00 deposit is required when your class start date is confirmed. 

All other training courses require full payment before first session. 

Payment is to be made by eTransfer to the following email:  [email protected]

All classroom training is done online using the ZOOM platform.

Yes
No

THIS SECTION IS REQUIRED IF STUDENT IS UNDER THE AGE OF 19 YEARS

THIS SECTION IS REQUIRED IN COMPLIANCE WITH OUR COVID-19 PROCEDURES AND PROTOCOLS

severe difficulty breathing (e.g., struggling for each breath, speaking in single words)
severe chest pain
having a very hard time waking up
feeling confused
lost consciousness
unable to lie down due to shortness of breath
I have none of the symptoms listed above

A close contact is defined as a person who:

  • provided care for the individual, including healthcare workers, family members or other caregivers, or who had other similar close physical contact without consistent and appropriate use of personal protective equipment OR
  • who lived with or otherwise had close prolonged contact (within 2 meters) with the person while they were infectious OR
  • had direct contact with infectious bodily fluids of the person (e.g. was coughed or sneezed on) while not wearing recommended personal protective equipment
fever (or signs of a fever such as chills, sweats, muscle aches and light-headedness)
cough
headache
sore throat
painful swallowing
runny nose
unexplained loss of appetite
diarrhea
loss of sense of smell or taste
are you experiencing small red or purple spots on your hands and/or feet?
I have none of the symptoms listed above
Visual Verification Image

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