Air Brake Registration Form

To register, please fill out the form below.

Terms and Conditions:

Cancellation Policy

- Students may withdraw from the course for any reason with at least 48 hours notice. Funds will be returned minus a $25 administration fee.

Personal Conduct Policy

- Students must maintain decorum. School staff, instructors and students must be respected at all time. Treat others as you wish to be treated. Disruptive or abusive individuals will receive 1 warning. If the behavior continues, the individual will be expelled from the course, tuition fees paid will be forfeited.

Surname *

Enter your last name as it appears on your Ontario Drivers License

Name *

Enter your First (Given) name as it appears on your Ontario Drivers License

Dr Lic Nr *

Enter your Ontario Drivers License number

Course Date *

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Select which course you would like to attend

Address *

Mailing Address as it appears on your Ontario Drivers License

City *

Postal Code *

Telephone *

(###) ### - ####

Email *

Payment

Credit Card Type *

 VISAMASTERCARDAMERICAN EXPRESSDISCOVER

Card Number *

Expiry Month *

 010203040506070809101112

Expiry Year *

 2019202020212022202320242025202620272028

CVV *

3 Digit Card Verification number on the back of your card

I agree to the Terms and Conditions *

Click to confirm you agree to the terms and conditions.

18.116.28.79

Fields marked with an * are mandatory.