Y•Drive Driving Lessons Enrolment Form

Thanks for your interest in Y•Drive Driving Lessons in Timaru. Just fill out the form below, hit send, and we’ll be in touch soon.

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* 1. Your Details

Full Name

Date of Birth - DD/MM/YYYY

Home Address

Contact Phone Number

Alternate Phone Number (Optional)

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* 2. Gender

Female

Male

Gender Diverse

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* 3. Ethnicity

NZ European

Maori

Pacific Island

Asian

Other

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* 4. What license do you currently hold?

None

Learner

Restricted

Full

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* 5. What day(s) suit you best for lessons?

Any

Monday

Tuesday

Wednesday

Thursday

Friday

I just want information

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* 6. What time(s) suit you best for lessons?

Any

Morning

Afternoon

Evening

Other (please specify)

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* 7. How did you find out about us?

Website

Facebook

School

Work

Word-of-mouth

Other (please specify)