Click here if you're registered for the Beginner Driver Education Course
with one of our Partner Schools, and you want to set up your manual shift lessons.


All other clients, please fill out this short form and I'll contact you shortly to make the arrangements. If you need more information first, use the Contact page, or call me at 613-745-6038.

Contact Information :

Salutation:	Select... Mr. Miss. Mrs. Ms.
Full Name:
Email:
Confirm email:
Home Phone:	-
Work Phone:	-
Cell Phone:	-
Contact by:	Any Email Phone
Street Address:
City/Town:
Area:	Select... Orleans Ottawa East Ottawa Centre Ottawa South Ottawa West Kanata Other
Current Driver's License Level:	G1 G2 G
Restrictions on License:	Select... None Need glasses Need breathalizer interlock Other
CAA Membership:	Yes No
CAA Card Number:

Check the (approximate) times you would be available for lessons
during the coming week or two (lessons are normally 1 hr):

	Mon	Tues	Wed	Thur	Fri	Sat
10:30 am
1:00 pm
2:30 pm
4:00 pm
5:30 pm
7:00 pm

I need to Select... learn manual from scratch improve my skills Other (explain below)

Because Select... I'm planning to buy a "stick shift" I bought a manual shift car I need to drive the family (or friend's) car I need to drive overseas Just in case I need it someday I need to pass the test to get my "G2" I need to pass the test to get my "G" Other (explain below)

Note / question...