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IMPACT Texas Adult Drivers
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Register
Before watching the video a DESKTOP COMPUTER or a LAPTOP is needed. The video is not compatible with a CELL PHONE, TABLET, or IPAD.
Note: This registration form must be completed with the student's information. The Completion Certificate will only print for the name registered on the account.
Note: If your student does not have an email address, many companies offer free email service. You can sign up for a free email address at any of the major providers.
*Student's Email (User Name):
Email Address is Unique.
Email Address is already in use.
*Confirm Email:
*Create Password:
Hide Password
Display Password
Password meets criteria
Minimum of 8 characters. Include at least one upper case, one lower case, a number and one special character: %,&, _, ?, #, =, -
*Confirm Password:
*Security Question:
--Select a Security Question--
In what city does your eldest sibling live?
What is the name of the city where you were born?
What is the name of your favorite teacher?
What is your father’s middle name?
What is your maternal grandfather’s first name?
What is your mother’s middle name?
*Security Answer:
*Student's Last Name:
*Student's First Name:
No First Name
Student's Middle Name:
Suffix:
--Select a Suffix--
Jr.
Sr.
I
II
III
IV
V
VI
VII
VIII
IX
X
*Student's Date of Birth:
Format: mm/dd/yyyy
*ZIP Code:
Check if 25 and over and never taken a driver education course (within the last 2 years)
*Driver Education Type:
Parent Taught (PTDE)
Course:
--Select a Course--
101 - Texas Parent Taught Driver Education Model Program
102 - National Driver Training Institute
103 - Driver Ed in a Box
104 - Curb Buster
105 - Driver Ed at Home
106 - Ready Set Drive
107 - Virtual Drive of Texas
108 - DriversEd.com
109 - I Drive Safely
110 - America’s Driver’s Ed
111 - TeenDrivingCourse.com
112 - Safe2Drive
113 - American Safety Council
114 - Driver’s Education 101
115 - All Star Driver Education, Inc.
116 - Aceable Drivers Ed App for Mobile
117 - 30 Dollar PTDE
119 - TexasParentTaughtDrivingCourse.com
120 - 2 cool 4 driving school
121 - ParentTaughtDrivingCourse.com
122 - affordabledrivered.com
125 - Tiffany's PTDE Course 123
126 - Tiffany's Other Course
131 - National Highway Safety Adminstration
132 - Top Choice Drivers
133 - Driving School 4 me
174 - DrivingQuest
175 - EZParentDriversEd.com
177 - Drivers side
180 - GoToDriversEd.com
182 - East Texas Parent Taught Driver Ed
183 - Central Texas Parent Taught Driver Ed
184 - South Texas Parent Taught Driver Ed
185 - West Texas Parent Taught Driver Ed
186 - North Texas Parent Taught Driver Ed
189 - Community Driving School
190 - Southlake Driving School
191 - HEB Driving School
192 - Denton Driving School
197 - Houston Driving School
203 - Easy Texas Drivers Ed
205 - All American Online
206 - SPIDER Drivers Ed
207 - Cruise Control
223 - Parent Taught Behind the Wheel Program by Cazares Driving School
229 - SafeWay Driving
C0042 - Austin Driving School Parent Taught Course
C2839 - Aceable
C3267 - Safety First Driving School
C3277 - Friendswood Driving School Inc
C3286 - EMS Drivers Ed School LLC
C3413 - Imperial Driving School
C3555 - ATX Driving School
pt102 - Help for the teenager who wants to drive
PT131 - Teen Choice Driving
PT179 - Easy Drivers Ed
PT192 - Denton Driving School
pt195 - diyteendriving.com
pt196 - happytimedrivingschool.com
PT197 - Houston Driving School- Parent Taught
PT200 - Easy Teen Drivers ED
PT201 - Fast Easy Drivers ED
PT202 - State Approved Drivers Ed
PT203 - Easy Texas Drivers Ed
PT206 - SPIDER Drivers Ed
PT208 - Killeen Driving School
PT210 - I Am Road Ready
PT211 - South Region Driving School- Friendswood LLC
PT213 - HerDriviersed
PT214 - Parenttaught.com
PT215 - Comedy Driving Inc
PT216 - South Region Parent Taught
PT220 - Simply Parent Taught Drivers Ed
PT221 - Texas Parent Taught Drivers Ed
PT224 - Drive Safe Driving School
PT225 - Car Teen Parent Taught DE (In Car Only)
PT226 - Texas 32 Hour Driver Education Course
PT228 - Funny Driving's Parent Taught Drivers Ed
PT231 - GET DRIVERS ED
PT233 - Pass Drivers Ed - 32-Hour Texas Teen Parent taught Course
Driver Education School:
TDLR Number:
This can be found on the ADE certificate
High School
School Number:
Out Of State Equivalent
*ADE/DE Control Number(
?
):
Note: Only enter the numbers of the control, no letters.
* Required