Alaska Defensive Driving

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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.

BOLD fields are REQUIRED

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


Drivers License Number
Drivers License Class
Course taken for the purpose of satisfying:
If "Court Ordered" is chosen, please enter the court name and address. Remember, you must obtain court permission prior to taking this online program.
Case, citation, or docket number
Due date

Payment Method

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