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IMPACT Texas Teen 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 required
Email address is invalid
Email address is invalid
Email address Already Exists
Email Address is Unique.
Email Address is already in use.
*Confirm Email:
Confirmation email is required
Confirmation email does not match, the email address is case sensitive
*Create Password:
Hide Password
Display Password
Password is required
Password is Invalid. Password must be a minimum of 8 characters and include at least one upper case, one lower case, a number and one special character from the following: !#$%&'*+-/=?^_`{|}~
Password meets criteria
Minimum of 8 characters. Include at least one upper case, one lower case, a number and one special character: %,&, _, ?, #, =, -
*Confirm Password:
Password confirmation is required
Password confirmation does not match
*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 Question is required
*Security Answer:
Security Answer is required
*Student's Last Name:
Last Name is required
Last Name contains illegal characters. Valid characters are uppercase and lowercase letters, space, hyphen, and tilde. The tilde (~) must be followed by an n.
Last Name contains illegal characters. Valid characters are uppercase and lowercase letters, space, hyphen, and tilde. The tilde (~) must be followed by an n.
*Student's First Name:
No First Name checkbox must be selected if First Name field is blank
First Name contains illegal characters. Valid characters are uppercase and lowercase letters, space, hyphen, and tilde. The tilde (~) must be followed by an n.
First Name contains illegal characters. Valid characters are uppercase and lowercase letters, space, hyphen, and tilde. The tilde (~) must be followed by an n.
No First Name
Student's Middle Name:
Middle Name contains illegal characters. Valid characters are uppercase and lowercase letters, space, hyphen, and tilde. The tilde (~) must be followed by an n.
Middle Name contains illegal characters. Valid characters are uppercase and lowercase letters, space, hyphen, and tilde. The tilde (~) must be followed by an n.
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
Date of Birth is required
Date of Birth is invalid. Format: mm/dd/yyyyy
*ZIP Code:
ZIP Code is required
ZIP code is invalid
*Driver Education Type:
Parent Taught (PTDE)
Course:
--Select a Course--
101 - Parent Taught 101
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 - ParentTaughtTeenDriversEd.com
118 - Teen Texas Driving
119 - Platform71
120 - 2 Cool 4 Driving School
121 - ParentTaughtDrivingCourse.com
122 - Affordabledrivered.com
123 - edrive.training
124 - GDL 101
125 - PARENT TAUGHTDRIVER.COM
126 - Affordable Parent TaughtDriversEd.com
127 - TeenParentTaughtDriversEd.com
128 - XLR8 Driver's Education
129 - Parkway Driving School
130 - TexasParentTaughtDriversEd
131 - National Highway Safety Administration
132 - Top Choice Drivers
133 - Driving School 4 Me
134 - Parent Taught Drivers Ed LLC
1344 - Education Service Center Region 6
135 - teens.parent taught driver education.com
136 - ParentTaughtDriverTraining.com
137 - Collision Free
138 - Lakeway Driver Education and Training
139 - Texas Educacion De Manejo
140 - Driver Ed Training
141 - Drivers Ed TX
142 - Feel Free To Drive
143 - ND Training
144 - Safe Teen Driver
145 - NDTI Driver Safety
146 - Graduated Driver Licensing
147 - Prepared Teen
148 - Texas Drivers Ed
149 - Teen Drivers Ed
150 - Texas Drivers Ed Programs
151 - Confidence To Drive
152 - Drivers Ed Guru
153 - Edriver
154 - Learners Permit Now
155 - National Driver Education
156 - NDT Driver Safety
157 - NDTI Driving Safely
158 - New Safe Driver
159 - Teen Driver Education
160 - Magnet Driving School
161 - Training Made Simple
162 - DEI Training
163 - Drivers Ed Portal
164 - Expensive Wreck
165 - MVD Training
166 - The Best Training
167 - Teen Driver Safety
168 - Permit Today
169 - Parents Who Care
170 - Villa Drivers Ed
171 - Texas Teen Drivers
172 - All American Drivers Ed
173 - Texas Teen Driving Course
174 - DrivingQuest
175 - EZParentTaughtDriversEd.com
176 - Online Driving Professor LLC
177 - Drivers Side
180 - GoToDriversEd.com
182 - East Texas Parent Taught Driver Ed
183 - Central Texas Parent 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
206 - SPIDER Drivers Ed
207 - Cruise Control
223 - Parent Taught Behind the Wheel Program by Cazares Driving School
229 - SafeWay Driving
C2839 - Aceable
C3022A - Pioneer Driver Education School
C3204 - Island Driving School
C3204A - Island Driving School
C3204B - Island Driving School
C3267 - Safety First Driving School
C3277 - Friendswood Driving School Inc
C3413 - Imperial Driving School
C3439 - Smart Way Driving
C3528 - Comedy Driving
C3529 - Funny Driving
C3555 - ATX Driving School
pt 192 - Denton Driving School
PT121 - ParentTaughtDrivingCourse.com
PT131 - Teen Choice Driving
PT139 - Texas Educacion De Manejo
PT140 - Driver Ed Training
PT142 - Feel Free To Drive
PT143 - ND Training
PT174 - Driving Quest
PT178 - Cypress Driving School
PT179 - Easy Drivers Ed
PT181 - Austin Driving School
pt189 - community driving school
pt190 - southlake driving school
pt191 - HEB Driving School
PT194 - Parent Taught In-Car Instruction
PT195 - DIYTEENDRIVING.COM
PT196 - HAPPYTIMEDRIVINGSCHOOL.COM
PT197 - Houston Driving School
pt200 - Easy Teen Drivers ED
PT201 - Fast Easy Drivers ED
PT202 - State Approved Drivers ED
PT203 - Easy Texas Drivers Ed
PT204 - Straight foward Driving
pt205 - All American online
PT206 - SPIDER Drivers Ed
PT208 - Killeen Driving School
PT210 - I Am Road Ready
PT211 - South Region Driving School- Friendswood LLC
PT213 - HerDriversEd
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
PT227 - Drivers Education of America Teen Course
PT228 - Funny Driving's Parent Taught Drivers Ed
PT230 - How to drive online parent taught
PT231 - GET DRIVERS ED
PT232 - Sugar Land Driving School
PT233 - Pass Drivers Ed
Parent Taught (PTDE) Course is required
Driver Education School:
TDLR Number:
Commercial School Number is required
Commercial School TEA Number is invalid
This can be found on the DE-964 Certificate
High School
School Number:
High School Number is required
High School TEA Number is invalid
Out Of State Equivalent
Driving Education Type is required.
*Student's Learners License Number:
Student’s Learners License Number is required
Student’s Learners License Number is invalid
* Required