Circuit Appointment Form

Use this form to book your Manual Shift Lessons

To avoid misunderstandings and delays, please take the time
to read the instructions and complete the form carefully

I'm JC and I'll be handling your manual shift lessons. Use this form only if you're registered for the Auto/Manual Course with CIRCUIT, and you've done at least one or two lessons with your automatic instructor. Also be sure your course is PAID IN FULL. Aside from working with Circuit, I also operate ProShift - if you wish to have more information on me or on ProShift, check out my website

The auto/manual course normally includes 8 hours on automatic and 4 hours on manual. In most cases, it's best that you start your manual lessons after you've done two or three lessons on the automatic. You can continue your automatic lessons while you take your manual shift lessons if you wish; but you must complete all your manual lessons before your last automatic lesson!

Note: It's preferable that you don't start to drive manual before your lessons with me


Notice: THIS FORM MUST BE COMPLETED BY THE STUDENT DRIVER HIM/HERSELF – Due to frequent and ongoing problems and confusion caused by “third party booking”, I will no longer accept scheduling requests by parents, guardians, spouses, etc. (except in the case of credible extenuating circumstances). Follow up messages must also be handled by the same person.

I'm a:
Full Name:
Email:
Confirm Email:
Home Phone (landline): - -
Mobile Phone: - -
Home Address:
District:
High School (if applicable):
Current Driver's License Level: G1 G2 G
Name of your automatic instructor:
# of hours done with automatic instructor:

Note: Manual lessons are provided in English only

Other information:
- Tell me when you are normally available for lessons (days/times)...
   (I normally work from 1:30pm to 8:00pm, Mon to Sat)
- Your location if you live outside Orleans...
   (We may have to set up a meeting point)
- Any other questions or comments you may have...






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