Registration for shawdrivered

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Si se esta inscribiendo en nuestra Escuela de DUI en espanol, haga clic en el menu desplegable de idiomas que se encuentra arriba. Gracias.

If you have any questions regarding registering for our course, please do not hesitate to contact us at (775) 329-2888

Create an account.
(Please fill out the following form and click 'submit' below.)

*Required Information: Fast Registration! All information in red is required to have some text entered. You may add any missing information at a later date.

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User ID and Password

*Desired User ID:

Letters and numbers only. No spaces.

*Choose a Password:

Letters and numbers only. No spaces.

Contact Information

*Email:

Phone:

Student Information

*First Name:

Middle Name:

*Last Name:

*DOB

(mm/dd/yyyy)

Click the calendar icon to pick your date of birth
or enter it manually in the fields provided.

*Address:

Please enter your street address

Address 2

Include apartment, suite, unit, floor numbers if appropriate

*City:

Please enter the city in which you live

*State/Province:

*Postal code:

High School

Referral Information.

Who recommended you?

Who is your attorney or Law Firm

Enter "none" if you have not selected an attorney.

Attorney's email address

i.e. attorney email/FAX/phone, etc.

If you do not know the answer to the questions below or does not apply, then leave blank.

License and Court Information

Drivers License #

State Drivers Lic Issued

Nevada Court of Jurisdiction

If you are completing this course for a court in another state please call us when you finish
the final exam so we may send it to them.

Idaho Court of Jurisdiction

Judge's Name

Court Ordered Completion Date

(mm/dd/yyyy)

Court Case Number

Citation Number

if you only have a court case or citation number put
it in both fields so CN and CCN are both filled out

To be completed by traffic school students ONLY.

Do you have any additional (more than
one) or pending traffic citations during
your enrollment in this course?

Choose "Yes" or "No" from the pull-down menu

The Court is reducing or dismissing my
ticket upon completion of Traffic School?

RES_DD_COMMENT2

I have completed a traffic safety course
in Nevada for credit within the past 12
month period.

Choose "Yes" or "No" from the pull-down menu

How many moving violations have you
been cited for in the last 12 months?

I am taking this course...

*Required field