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| Date of Birth: | Gender: | |||||||||||||||||||
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| Mr. Ms. Mrs. Miss. |
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| First Name: | Initial: | |||||||||||||||||||
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| Number | Street | Apt. | ||||||||||||||||||
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| CAA Membership number of Parent/Guardian: |  |
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| Res tel: | ( ) | Bus tel: | ( ) | |||||||||||||||||
| E-mail Address: | Cell no.: | |||||||||||||||||||
YOUNG DRIVERS® respects the confidentiality of the personal information of our customers. As part of our commitment to you, we want to clarify why we may ask for your personal information (such as your name, address, phone number and e-mail address).
YOUNG DRIVERS® collects, stores and uses information about our current and prospective customers to improve our products and services and to build better customer relationships. This information is used to enroll customers in YOUNG DRIVERS® programs, transfer student records from one YD Centre to another and provide the student with a Graduation Certificate. Information regarding a customer’s driver’s licence and course records (attendance, marks, etc.) is provided to appropriate government agencies for certification purposes i.e. the Ministry of Transportation (MTO) and the Insurance Bureau of Canada (IBC). By providing your information to us, you have consented to these uses and disclosures.
This information is used from time to time to communicate with our customers, to send out offers, surveys or marketing materials and to improve the driver training products through research conducted by us, with insurance companies and with credited organizations such as the Traffic Injury Research Foundation (TIRF). YD may disclose such information to third parties under obligations of confidentiality for the purposes of YD promotional activities and to the CAA in order to process the graduate’s membership that is being offered at no charge.
We do not share your personal information with anyone other than other YD franchisees, related companies and agents without your consent. We may also disclose your personal information where we are required or permitted by law to do so. In such a case, we will release personal information only to the extent required.
Your personal information is accessible at YOUNG DRIVERS® and you may notify us in writing to review or correct it. If you do not agree to the above and do not want to receive any further information from us, please inform the YOUNG DRIVERS® Centre where you are taking the YD Program or send us an e-mail at: info@yd.com providing your name and address including postal code in the message.
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| Payment method: | Cheque |
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| Name of card holder - please print | |||||||||||||||
| Amount authorized: $ | (tax included) | ||||||||||||||
| Credit Card number: | |||||||||||||||
| Expiry Date: | Signature: | ||||||||||||||
| Month | Year | ||||||||||||||
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| Learner's Permit Number: | |||||||||||||||
| Issued: | Expiry Date: | Restrict: | |||||||||||||
| Year | Month | Day | Year | Month | Day | ||||||||||
| Please fax to your local centre if paying by credit card or mail if paying by cheque. |
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