Accelerate Driving Student Enrolment

Please complete the enrollment and registration form below. You will receive an email notification of your registration and will receive notification once your enrollment has been accepted and your account activated for you to book and pay for your lessons online.

User Registration

* Required field

Name

Username

Password

Minimum Requirements — Characters: 8

Confirm Password

Email Address

Captcha

Your Details

Date Of Birth

Please enter date in DD-MM-YYYY format.

Gender

Male Female Other

Contact number

Are you part of the drive safe program?

Yes No

Student Registration Number

Emergency Contact Details

Contact Name

Contact Phone

Special Needs

Do you consider yourself to have an disability?

Yes No

If yes, please select

Hearing

Physical

Intellectual

Learning

Medical condition

Mental illness

Other

Do you require special assistance because of disability?

Yes No

If yes please specify type of assistance needed

Disclaimer

I agree below terms & conditions

Privacy statement & student declaration
Each lesson is $90.00
All lessons to be paid on booking.

Cancellation
Should you be unable to make your booked lesson please cancel online. Lessons that are cancelled within 48 hours’ notice will incur a 50% of the booking fee. Lessons cancelled 24 hours before the lesson will incur a 100% of the booking fee.