ALTA DRIVING

Student Registration

Name:

Program Selected:

Gender:

Male

Female

Birth Date:

Address:

City:

State:

Zip Code:

Preferred Language:

English

Spanish

Preferred Location:

Learner's Permit # (optional):

You must have a valid Learner's Permit before taking your first Drive! If you don't have one now, you can present it at the office, read further on Service Agreement

Referred by (optional):

Contact / Login Information

Student's Phone:

E-mail:

Password:

Password safety

Confirm password:

Password must be at least eight characters including one uppercase letter, one special character and alphanumeric characters.

Authorization Data (required for students younger than 18 years old)

Parent's Phone:

Parent's name:

Payment

All of our payments online are made through Authorize.Net, After you click on sign up you'll be redirected to finish the payment process.

REMEMBER TO CHECK OUT OUR PROMOTIONS BELOW, SOME MAY APPLY ONLY ONLINE OR AT THE OFFICE

You can PAY NOW with Debit/Credit Card. If you wish to use antoher payment form choose Pay Later, and pay at our office.

Pay Now (Full)

Pay Now (50%)

Pay Later

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By clicking "Sign Up", you agree to the privacy policy and our Service Agreement