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In-Person Class Registration Form

Please note all fields are required. We use this information to contact the court and confirm your citation and defensive driving school elligibility.

Enter the In-Person class date you wish to attend (click here to view our upcoming schedule)

Provide the following information so we can verify your record and contact you.

Your Name:
Date of Birth:
Driver's License Number:
Driver's License State:
Phone Number:
Email Address:

Provide your citation information that we will verify with the court.

Court Name:
Complaint or Citation Number:
Violation Date:
Violation Code (ARS 28-####):
Court Date:

We will process your registration and follow-up with you during regular business hours. Thank you for selecting West Valley PHX Defensive Driving School *Online4U2