Defensive Driving Course Enrollment Form

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Defensive Driving Course Enrollment Form is an official document that needs to be completed by individuals who want to enroll in a defensive driving course. This form typically requires information such as the participant's details (name, address, license number), course selection, payment method and amount, and any other relevant details required by the course provider. The purpose of this form is to register participants for the defensive driving course and to gather necessary information from them.

Implementing a Defensive Driving Course Enrollment Form can benefit your organization in several ways:

• Reduced risk of accidents and related claims
• Lower insurance premiums due to decreased accident rates
• Improved driver behavior and safety awareness among employees
• Enhanced company culture through prioritization of road safety
• Simplified administration and documentation for defensive driving courses
• Increased productivity as a result of fewer workdays lost to accidents or related issues

1. Enroller Information:
   • Name
   • Address
   • Phone Number
   • Email
2. Student Information:
   • Name
   • Date of Birth
   • License Number
3. Course Details:
   • Course Type (e.g. Defensive Driving)
   • Start Date
   • End Date
4. Payment and Fee Information:
   • Payment Method (e.g. credit card, check)
   • Amount Paid
5. Signature Block:
   • Enroller's signature
   • Student's signature