Michigan Online Defensive Driving

YOU MUST GET COURT PERMISSION PRIOR TO ENROLLING

Registration

Please fill out the information below. You may begin the program immediately after you finish enrolling. Your username and password allows you access to the testing areas, so please remember them! They should be 5-10 characters in length. Remember, you can choose any names, numbers, or letters you like.

If you are unsure of any required field, simply fill it in and change it with the office staff later. You must put in some answer to enroll, but it may be altered at a later time.

Please Note: All confidential student information submitted is for the purpose of satisfying court requirements only and will NOT be sold or supplied to any outside parties.

BOLD fields are REQUIRED

First Name
Last Name
Email Address
Address
City
State
Zip
Phone (DAY)
Phone (Night)
Date of Birth
Gender	Male Female


Drivers License Number
Drivers License State
Court If your court is not Michigan , please call our office for more information regarding enrollment. *If Other* is chosen, please enter the court name and address. You must call the court for special permission before enrolling.**
Case, citation, or docket number
Court due date

Payment Method

How Did You Hear About Us?	Court Direct Mail Yellow Pages Friend / Relative Other If Other, please explain: