PDS DRIVING SCHOOL

ADULT REMEDIAL COURSE

 Approved by the Ohio Department of Public Safety

 SATISFIES REQUIREMENTS FOR:

2 point credit,  12 point suspension,  OVI reinstatement,  court order,  19 year old or older juvenile suspension

ONE DAY - 8 HOUR CLASS

 CLASSES EVERY OTHER SATURDAY - 1:30 pm - 10:00 pm  (half-hour break required by ODPS)

5335 Far Hills Ave. Suite 125   Dayton, OH 45429   Phone:  937-439-4130

 PRICE:  $70.00 (paid in full prior to class date, no personal checks)

 Pre-Registration is REQUIRED

To REGISTER ONLINE,   complete ALL areas below and "SUBMIT"; a PDS staff member will contact you by phone to secure payment using VISA, MC, or Discover credit card . 

To REGISTER by PHONE,  please call 937-439-4130 Monday through Saturday; voice mail messages will be answered by the next business day.

To REGISTER by MAIL, print and complete form below and mail with payment (money order payable to PDS Driving School) to address shown above.

_______________________________________________________________________________________________________________________________________

ADULT REMEDIAL COURSE REGISTRATION FORM

 Select ONE of the Available Class Dates Below: (all on Saturdays. from 1:30 pm - 10:00 pm at PDS Driving School)

                  NO CLASSES AVAILABLE AT THIS TIME

First Name:   
MI:
Last Name:  
SSN:  
Address:      City:    Zip:   10/15/11   Saturday. 1:30 pm - 10:00 pm
Phone#:      Alt#: 
DOB:    Sex:  Male   Female
Driver License or State ID#:    Date Issued:  
Email Address:
REASON YOU ARE TAKING THIS COURSE (select ONE):

LICENSE SUSPENDED DUE TO 12 POINT SUSPENSION
2 PT CREDIT ISSUED TO LICENSE (you have between 2 and 11 points on your license at this time)
19 or OLDER, BUT JUVENILE SUSPENSION OCCURRING BEFORE AGE 18
OVI  REINSTATEMENT REQUIREMENT
COURSE IS COURT ORDERED


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