Pre-Registration

READ ALL OF THE FOLLOWING PRIOR TO REGISTERING:


Terms and Conditions:

YOU WILL BE HELD ACCOUNTABLE FOR READING AND CONSENTING TO THE FOLLOWING, so read carefully:

DO NOT REGISTER until all involved have committed to attend the requested event, on the requested date, because once your reservation is submitted, processed and accepted, there are no refunds, reschedules, or roll-overs … no exceptions. Any medical/family emergency, change of priorities, or “conflict” on your part exempts neither us from the financial commitments we must make to accommodate you, nor you from the commitment you make to attend. So again, do not make a reservation “on the chance” you will be available. You need to defer until that point in time at which you can your word can be kept, and you can commit to attend.

Once your reservation is submitted and accepted, the contract is complete and you will receive your confirmation, along with the “Program Start” materials, setting the program underway. All of the provisions necessary to accommodate your family will also be made, and being beyond the “point of no return”, the sale is final at that point.

The program will be delivered as scheduled. Your payment secures the space you reserved for your family, and by holding that reservation for you, the sale is complete, whether or not you choose to attend. During the classroom session, we will collect from you the balance of the vehicle-specific paperwork necessary to provide the final provisions necessary for you to attend. If you fail to attend the classroom session, we cannot secure that paperwork, and will not be able to accommodate you in the driving session.

So we restate: Do not submit a reservation until you can commit your family’s schedule and availability to attend. We expect to be able to take you at your word.

and we restate: Do not submit a reservation until you can commit your family’s schedule and availability to attend. We expect to be able to take you at your word.

Transfer option: When you come to the classroom session, if you find someone willing to trade weekend driving session times with you, notify the instructor on that night, and we can make the necessary changes to the roster.

If you understand and agree with these Terms and Conditions, you may indicate so in the next section and proceed with completing and submitting your reservation.


 
 

Please make a selection.
Please make a selection.
Please make a selection.
Please make a selection.

You should have already selected which venue you wish to attend, and become familiar with the pricing at that venue. (If you need to obtain a schedule or pricing information, simply click your “back” button or go to the homepage, and click the yellow button instead of the green one.)

For which event would you like to register?

Venue/Location: A value is required.   

Classroom Date (All will attend this classroom session, so record it in your calendar right now!):
A value is required.

On the weekend following the classroom session, which driving session listed on the schedule is most convenient for you?(We always do our best to give you your preferred session, and in the order you indicate. If you only indicate availability for say, one of the driving sessions, and it is already sold out, we will put you on the waiting list for that driving session and only send your confirmation if someone cancels or withdraws and we can place you in that space.)




Please make a selection.

And, for how many of the other driving sessions could you make yourself available that weekend if your first choice is sold out?





Student's given name:  First: A value is required.   Last: A value is required.

Name student goes by (nickname): A value is required.

A value is required.

Which high school, college, or homeschool group does your student attend?
A value is required.

Student's date of birth (MM/DD/YY): A value is required.Invalid format.

Your student must have a learner’s permit or a driver’s license to drive a car. Which will they have by the date of the driving session?


Please make a selection.

Parent #1: (Co-attending adult must be parent, and/or legal guardian of student(s))
A value is required. A value is required.

Parent #2 if attending either classroom or driving session:


Street address to which the credit card is billed:
A value is required.

City: A value is required.   State: A value is required.   Zip: A value is required.Invalid format.


Parent or legal guardian e-mail address:
(Notice: All further correspondence will be sent to whoever’s e-mail address you provide here. Be sure it’s input correctly, and you have Homer@AccidentAvoidanceWorkshops.org set up as a “safe sender” on that computer. The program materials you will be sent will come in the form of embedded links and/or attachments, and if your computer blocks them, it will deprive you of the ability to complete this program.)
A value is required.Invalid format.


Phone (Primary) hyphens only, please i.e.: 612-555-4937: A value is required.   

Phone (Secondary) hyphens only, please i.e.: 612-555-4937: A value is required.

  
We prefer no Capital One cards, please.
No surcharges for personal debit/credit cards.
5% surcharge for business, commercial or corporate cards.


Credit Card Number: A value is required.Invalid format.   Expiration Date (MM/YY): A value is required.
If your credit card is declined, you will be notified and given 48 hours to rectify the situation before your registration is withdrawn from the event.

3 Digit CID Number (4 Digit for American Express): A value is required.Invalid format.Exceeded maximum number of characters.

Name as it reads on credit card: A value is required.

How did you hear about the Workshops? A value is required.



Critical Information!

Incomplete pre-registrations cannot reserve a spot, so be sure to take the time now to complete this “Critical Information” thoroughly based on what you know at this point.
If you choose to complete your registration later, or if you write in “will respond later or get back to you”, it will remain in our “on-hold” file until you do so. You can return later to complete it by going to the following link to complete your pre-reservation without having to go through the entire process again:

https://www.AccidentAvoidanceWorkshops.org/criticalinformation.html


As any educator will tell you, one cannot delivery one lesson plan, and everyone gets it. This section helps us understand your student’s learning style so we can connect with your student on a level other programs cannot. Please share with us anything you feel may help us connect with your student and help them learn. Even things you may not suspect to be beneficial can help us: an accomplishment of which they’re proud, an embarrassing moment at which they can laugh, or even something personal about them of which YOU are proud. And the more unusual, the more embarrassing, or the funnier, the better! You can avoid the typical “compassionate, great kid everyone likes” stuff we get from everyone … we already know that. Here are some good examples from the past:, “Ran in to their Principal’s car at school”, “Loves to have his head scratched”, “Can imitate every Disney character”, “Got his head stuck in a shop-vac when he was 13”, “Falls down the stairs often”, “Has a cat named ‘Death from above’”, “Eagle Scout or Gold Award” etc. All will be handled with discretion.

Has your student had any accidents, and if so, please elaborate on the nature and cause of the crash.


Has your student had any other traumatic experiences while driving? (Describe).


Has your student received any citations to date? If so, please provide details.


How’s their driving so far? And more importantly, WHY do you say so?


Does your student have any weakness(es) you would like us to address and/or reinforce for you in class. (Describe).


Does your student have any physical or emotional restrictions or limitations, including by not limited to, anything for which they have been treated clinically? If your student has such issues, please understand we can accommodate the majority of them, however, misrepresenting your student’s abilities can be grounds for dismissal from the program with no eligibility for refund, so be candid in your reply with full confidence in our discretion.
An entry is required.
A value is required.

For what conditions are they being prescribed medication, and what is the medication?
An entry is required.
A value is required.

Do they suffer from Deuteranopia, or any form of color blindness, and if so, which colors do they have difficulty distinguishing?
An entry is required.


In what sports or extracurricular activities do they participate?


What musical instruments do they play, if any?


Do they have siblings and if so, where do they rank sequentially? (ex: Middle child of 3, only child, oldest of 4, etc.)


What subjects in school do they ENJOY the most? (Not necessarily that they EXCEL in … but ENJOY the most…)


Now the fun part: Give us some dirt on your kid! Tell us something funny, or better yet, embarrassing about your student! Of course, we use discretion, so no “Oh, they would kill me” replies will fly … just help us with anything that will help us connect with them and relate with them better, and therefore help them enjoy it more!)


Tell us about one of your students unusual accomplishments that is outstanding, impressive, admirable. (We already know your child is the straight-A, AP class, mission-trip going, kindest kid on the planet and everyone likes them. So now, rethink your answer to this question before you respond!).


Are they overly-sensitive about anything (i.e. being a nerd, being short or having Acne) or overly-enthusiastic about anything (i.e. Minnesota Vikings fan, New York Yankees fan, UGA fan)?


No offense intended here … but is there any one thing that is an UNUSUAL concern you have about your student behind the wheel? (Hint: “Drives too fast”, “follows too close”, “hugs the line”, “no cell-phone”, or “drives with one hand”, … and so on, are already a BIG part of the program. I’m looking for something you feel may require more specific, and out of the ordinary attention.)



To submit, click the button below.
~ If submitted complete, the next screen will read, ”Thank you for your PRE-Registration"
~ If not, scroll up and complete any sections showing as incomplete, and try again. ~ You will receive confirmation/correspondence no later than the following Monday after submission.