First name

Last name

Date of birth

Email address

Telephone number

Home address

City

Postal Code

Driver License (if you had a scooter license)

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Parent's name

Parent's email address

Parent's telephone number

The following box need to be checked in order to submit your form.

By checking this box, I accept to be contacted via email or phone by Rigaud Driving School to complete my registration.
By checking this box, I accept to be contacted via email or phone by Rigaud Driving School to complete my registration.