Education Resource of Texas Pre-Registration Form


Education Resource of Texas 1110 W. William Cannon Drive · Austin Texas

DWI, DOEP, Theft & Anger Management Classes · Suite 302 For classes listed above call: 512-786-3673 DWI Intervention Class · Suite 301 For DWI Intervention Class call: 512-786-3673

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Pre-Registration Form for

DWI First Offense Education Course

Pre-Registration allows us to better anticipate class size and to notify you in the
unlikely event of changes to the class schedule.

Required fields are marked with an asterisk.

*Your Name:

*Address:

*City:

*State:

*Zip:

*Daytime Phone:

*Evening Phone:

*Email Address:

Question/Comment:
(if any)

DWI Class Schedules — Austin Texas
The DWI Course is comprised of THREE 4-hour classes; fee is $90.00:
Advance payment (in person or by PayPal) is required.
Please select the Class Schedule that you'd like to attend from the list below:

	Tue, Oct 16, 2018 6:00 pm to 10:00 pm	and	Wed, Oct 17, 2018 6:00 pm to 10:00 pm	and	Thu, Oct 18, 2018 6:00 pm to 10:00 pm

	Mon, Oct 22, 2018 10:00 am to 2:00 pm	and	Tue, Oct 23, 2018 10:00 am to 2:00 pm	and	Thu, Oct 25, 2018 10:00 am to 2:00 pm

	Sat, Oct 27, 2018 12:00 pm to 4:00 pm	and	Sun, Oct 28, 2018 12:00 pm to 4:00 pm	and	Mon, Oct 29, 2018 6:00 pm to 10:00 pm

	Sat, Nov 3, 2018 12:00 pm to 4:00 pm	and	Sun, Nov 4, 2018 12:00 pm to 4:00 pm	and	Tue, Nov 6, 2018 6:00 pm to 10:00 pm

	Sat, Nov 10, 2018 12:00 pm to 4:00 pm	and	Sun, Nov 11, 2018 12:00 pm to 4:00 pm	and	Mon, Nov 12, 2018 6:00 pm to 10:00 pm

	Mon, Nov 12, 2018 10:00 am to 2:00 pm	and	Tue, Nov 13, 2018 10:00 am to 2:00 pm	and	Thu, Nov 15, 2018 10:00 am to 2:00 pm

	Sat, Nov 17, 2018 12:00 pm to 4:00 pm	and	Sun, Nov 18, 2018 12:00 pm to 4:00 pm	and	Tue, Nov 20, 2018 6:00 pm to 10:00 pm

I have read, understand, and agree to abide by the Class Policies as stated HERE.