How to Register Complete the following registration form and scan/email it to [email protected] or fax to (416) 695-9977. Participant Name_ _______________________________________________ (Indicate “TBA” if participant name unknown at time of completing this form.) Title_________________________________________________________ Organization_ __________________________________________________ Address_ _____________________________________________________ City_ ____________________________ Province/State___________________ Postal/Zip Code__________________________________________________ Telephone_________________________ Fax__________________________ E-mail_ ______________________________________________________ Supervisor’s Name________________________________________________ Supervisor’s Telephone_____________________________________________ Supervisor’s Email________________________________________________ Special Needs___________________________________________________ Please check 2014 preferred date: o January 12-17 o March 9-14 (March Break) o May 4-9 o July 6-11 o July 20-25 o October 19-24 o Preferred date if above dates are not available or suitable: Please indicate the subject matter that you will train at your own company: o Transit o School Bus o Highway Coach o Specialized Transit o Other (Please specify) __________________________ __________________________ Certification: Please note that the Professional Instructor in Driver Education (P.R.I.D.E.) Program is a pass or fail course based on each participant achieving all of the daily objectives. Please return to: P.R.I.D.E. Program c/o Ontario School Bus Association 1 Eva Road, Suite 304, Toronto, ON M9C 4Z5 Scan/e-mail: [email protected] Fax (416) 695-9977 4 The Professional Instructor in Driver Education (P.R.I.D.E.) Program For more information Contact: Phone: Fax: Mail: E-mail: Michele O’Bright, Program Director c/o Ontario School Bus Association (416) 695-9965 Ext. 3 (416) 695-9977 1 Eva Road, Suite 304 Toronto, ON M9C 4Z5 [email protected] Registration Fees: $2,195 + HST per person (Members of OMCA, OPTA and OSBA) $3,195 + HST per person (Non-members) HST Registration # R104001060 Cancellation Policy: In the event that a registrant is unable to attend, cancellations will be accepted in writing without penalty up to 30 days prior to program commencement. After that date, no refunds or transfers will be permitted, although an alternate name may be submitted for the same program. The Professional Instructor in Driver Education (P.R.I.D.E.) Program reserves the right to cancel a program should insufficient enrollments or other factors warrant such action, in which case all payments will be refunded. Program Location: Admiral Inn, Burlington, Ontario, Canada Custom, in-house programs also available. Contact Michele O’Bright for more details. Reserve now! Space is limited! Like us on Facebook AT: www.facebook.com/pages/ProfessionalInstructor-in-Driver-Education-PRIDE-Program/ 221128364597611
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