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Pre-Registration - Critical Information

Please complete the following questions:
 
 

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

Parent or legal guardian e-mail address used to register: A value is required.Invalid format.

Critical Information!

Your pre-registration is not complete until you complete this Critical Information section. KNOWING this process may require more time than you have right now, you can either complete this section now, or you can skip down and submit what you have done so far, and come back later to finish it. When you do come back to complete your pre-registration, simply click on the following link, and you won’t have to re-do what you have already done. https://www.accidentavoidanceworkshops.org/criticalinformation.html

Once you’ve submitted both parts, we can send you a confirmation.

The following questions will determine how effective you can expect this training to be. We pride our program in being the most personal program available in the U.S. And you’re about to find out why. This is where you help 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’re very proud. And the more weird, more embarrassing, of funnier, the better! You can avoid the typical “great kid” stuff we get from everyone … but better yet, 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 Star Award” etc. DO NOT make the mistake of dismissing this as insignificant … it’s the single-most important information you will provide. Now … let’s have it!:

Describe in detail any crashes or traumatic experiences your student has had while driving.


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?


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


Skipping this questions is not an option. This one is delicate, but critical enough that we insist you level with us here, as safety is paramount in the Workshops. Please describe any physical or emotional restrictions or limitations your student may have, including but not limited to anything for which they are on medication. If your student HAS such concerns, please understand we can accommodate most of them. The reality is, if you feel they are capable of driving, we will likely feel some sort of accommodation can be made to have them attend the Workshops. But misrepresenting your student’s abilities can be grounds for immediate dismissal from the program with no eligibility for refund. So be candid in your reply to this one with full confidence in our discretion. So again … please describe any physical or emotional restrictions or limitations may have that we need to know about:


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


And please let us know for which, if any of these they take medication.
A value 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!)


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)?


What, (if anything specific), are you hoping your student learns, or takes away from this experience?
(Or in other words, what’s the most important area your student needs improvement?)



Terms and Conditions:

Within the week, you will receive confirmation of the driving session in which you were placed with respect to your priority/preference, at which point you can add that to your calendar. You have selected the venue and dates you wanted, and they will not be included in this confirmation e-mail, so be sure to record them in your calendar now. IMMEDIATELY, you need to add Homer@AccidentAvoidanceWorkshops.org to your safe senders list, or set up your computer’s system so as not to block e-mails from this address. Your confirmation will come from this address, as well as approximately 60% of the program’s deliverables. Upon arrival at the classroom session, you will be required to sign a waiver/release in order to participate in both the classroom session and the driving session. I have read and understand, and will adhere to the above terms and conditions.

Your financial commitment:
Our “Reserve now, pay later” policy means billing will not take place until the week 2 weeks prior to the classroom session, (or immediately if that window has already passed). Up until that point, your registration may be cancelled, re-scheduled or transferred as you wish … simply send us an e-mail to do so. Once billing is complete, we order all of the insurance, materials and resources to accommodate your student for that event, and there are no refunds, exchanges or transfers. No exceptions. The base tuition does include both parents for the classroom session and you may add a second parent to the driving session for $40 in cash on the day of the driving session if you so choose. Those who attend the entire classroom and the entire driving session will be eligible for Defensive Driving Certificates. I approve billing to my credit card as outlined above and understand once billing takes place, there are no refunds, re-schedules, or transfers. No exceptions.

Please make a selection.

To submit click the button below. If your submission succeeds, you will know because the next screen will read, ”Thank you for your PRE-Registration!” IMPORTANT: If the screen doesn’t advance when you click “submit”, scroll up and look for red boxes that indicate a reply or change in format is required to one of your answers.