FREEDOM TO DRIVE INC.
BLUE QUILL DRIVER TRAINING CENTER
382 SADDLEBACK ROAD
EDMONTON, ALBERTA
CANADA T6J 4R7
Tel: 780-437-4833
Fax: 780-437-4841
Toll-Free: 866-592-4833

Home Defensive Driving Program for Demerit Reduction and Staff Development Government Insurance Certificates For Parents and Driving Coaches Classroom Instruction Calendar
In-Car Lessons Class 7 Exam Preparation / Class 5 Road Exam / Graduated Driver's Licence Driving Instruction Packages Online Registration Become A Driving Instructor


 

Please complete the following form and click Submit.
We will contact you as soon as possible regarding your request.

First Name *
 Middle Name
 Last Name *
Street Address
 Apt. #
City
 Province
 		Postal Code
E-mail Address *
Home Phone
 Cell Phone
 Work Phone
Date of Birth
 Sex
M   
F   
Any disability of which we should be aware?
Emergency Contact:
 Emergency Contact Phone:
Learners License #
GDL Expiry Date
Date Issued
 Code or Condition
MVID (# under bar code on the front of licence)
Pick up address for lessons
How did you find about Freedom to Drive?
Yellowpages   
Found on the Web   
Saw one of our cars   
Referred by family or friend   
Posters or other advertisement   
Can Pages   
Other
Driving Instruction Program or Package in which I would like to register:
Critical Skills Package for New Drivers
Yes   
Basic Package for Insurance Certificate
Yes   
Premium Packages
A   
B   
C   
D   
E   
F   
G   
Six Hour Insurance Reduction Package
Yes   
Brush-Ups for Senior Citizens
Yes   
Standard Transmission
Yes   
Adaptive Controls for Persons with Physical Disabilities
If yes, please indicate program required:
Brush Up or Other Program
If yes, please indicate program required:
Edmonton High School that I am attending (optional)
Grade I am in (optional)
Defensive Driving Course For Demerit Reduction
Yes   

* Required to submit this form





creditIcon_visaSM.gif

creditIcon_mastercardSM.gif

smalllogo.jpg

freedomtodrive@shaw.ca

Edmonton, AB

Tel: (780) 437- 4833
(780)  4DRIVE3
Fax: (780) 437- 4841








Sign In
 Sign In