LaPlace Tuesday March 24th Road Skills Test
Date
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Month
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Day
Year
Date
Appointment
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Applicant's Name
*
First Name
Last Name
Applicant's Cell Phone Number
*
Please enter a valid phone number.
Parent's Cell Phone Number
*
Enter 000-000-0000 if 18 and older
Applicant or Parent's Email address
*
example@example.com
Applicant's Learner's or Temporary Instruction Permit Number
*
Check issue date to assure it has been 180 days from today.
Date Learner's or Temporary Instruction Permit was Issued
*
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Month
-
Day
Year
Date
Take a close up picture with just your Learner's Permit or Temporary Instruction Permit in the picture (just the card, not a picture of you). If submitting a Temporary Instruction Permit you must have envelope with documentation for a Learner's Permit and be at least 16 Years Old.
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Date of Birth
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Month
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Day
Year
Must be a minimum of 16 years old and have had your Learner's Permit for at least 180 days. If the Applicant is 17 the 180 day driving period is not required.
Parent's Name (Type NA if 18 or Older)
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First Name
Last Name
License/ID No. of Parent/Guardian (Type NA if 18 or Older)
*
(Type NA if 18 or Older)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does the Applicant Wear Glasses or Contacts
*
Yes
No
My Products
*
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Non Refundable Road Skills Test Deposit
Non Refundable Road Skills Deposit. The remaining Balance is $40.00 cash only.
$
40.00
TypI understand that the Road Skills Test Deposit is NON-REFUNDABLE. Road Skills tests will not be rescheduled. If you are not at our location office at least 10 minutes prior to your appointment, your appointment will be canceled and your deposit will be forfeited. If 17 or younger a parent or guardian must accompany the applicant. The total cost of the test is $80.00. $40 Deposit + $40 cash at testing time. Cost Break Down is $40 for the test and $40 for use of the car= $80. If upgrading from a temporary instruction permit you must have a driver's assessment score of at least 80% on your Certificate of Completion. e a question
*
Yes I Agree
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Payment Methods
Tarjeta de Débito o Crédito
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IF YOUR REGISTRATION DOESN'T PROCESS YOUR CARD HAS BEEN DECLINED. PLEASE DO NOT ATTEMPT AGAIN. TEXT TREVER AT 504-701-7881.
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