Las Vegas - Registration Form

Please fill out the form below to register for your A.I.D.E. program.

  1. You must register for your driving class within 48 hours of being assigned to this program. You will be provided with directions to the driving facility at time of enrollment.
  2. You must complete your court mandated driving program within 90 days of your sentencing.
  3. A parent or guardian must sign the Minor Consent Form and Minor Liability Waiver forms if you are under 18 years of age. For participants 18 years of age or older please complete the Adult Liability Waiver Form.
  4. You must bring a valid, state or federally issued photo I.D. with you (drivers license, etc.).
  5. You must bring cash or a money order or a certified check payable to: American Traffic Academy in the amount of $180.

    Failure to complete any of the above steps may prevent you from participating in the driving program.
    NOTE: Failure to show up without providing at least 14 days notice will result in a $20 penalty to reschedule (No exceptions). There is NO fee for rescheduling outside of 14 days.

  Registration Form

PLEASE NOTE: TRAFFIC OFFENDERS MAY NOT USE GROUPON VOUCHERS to pay for part or all of their program fee.
Your $180 fee is due in full on the day of your clinic. No exceptions.
* Required Fields
Program Date: * Please only choose one program date.
First Name: *
Last Name: *
Age: *
Date of birth (mm/dd/yyyy): * / /
High School Currently Attending?
Do you have a valid drivers license? * Yes
Currently Suspended License
Parent Email Address: (if under 18 years old)
AOL users may have difficulty receiving confirmation emails due to tight SPAM security measures.
Student Email Address: *
AOL users may have difficulty receiving confirmation emails due to tight SPAM security measures.
Phone Number: * ()- -
Address: *
Address 2:
City: *
State: *
Zip Code: *
Court Appointed: * Yes
Court Case Number: *
Describe your infraction:
Are there any other teenage drivers in your family? Yes
Promotional code (if applicable):
Comments

Our programs are available to the general public. If someone else you know (parent, brother, sister, friend) is interested in joining you, they can also sign up for this same date. Cost is $195 per person.

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