To Register With Colorado Driving Institute, Follow These Easy Steps:
1. Print out this registration form.
2. Fill out all requested information.
3. Send in your Registration Form and Payment by Snail-Mail to the Address Below.

Or, Fax Your Completed Registration Form to CDI and We'll Call You and Process Your Credit Card Payment by Phone:

Colorado Driving Institute
2850 Iris Ave, Suite I-3, Boulder, CO  80301
Fax: (303) 395-0392 / Phone: (303) 818-ROAD

General Information:
Applicant's Name: _________________________________________________
Date of Birth: _____________________________________________________
Applicant's Street Address: __________________________________________
City__________________________________________
State________ Zip Code: __________________
Applicant's Home Phone Number: ________________________
Applicant's Email Address: ______________________________
Father's Name: _______________________________________
Work Phone: ____________________
Mother's Name: ______________________________________
Work Phone: ____________________

Course Registration: (Please put a check mark beside the Course and Options You Desire / Note: BTW = Behind The Wheel )For specific in class course dates, see "Up Coming Course Schedule" the Behind the Wheel Schedule is not posted online. All Behind the Wheel should be scheduled after the student attains their permit.

Course 100 $140.00, Standard Classroom Package
30 hours of Classroom Only

Course 100 + 2-BTW Auto $335.00 = $95 + $240
30 hours of Classroom and Behind the Wheel lesson

Course 100 + 3-BTW Auto $395.00 = $95 + $300
30 hours of Classroom and Behind the Wheel lesson

Course 200 $140.00, - Home Study Correspondence Course

Course 10-A $65.00, - Driver Awareness Program for 15.5yr olds (4 hours of class).


Course 300 $94.95, Level 1- Traffic Violations. Specify the Number of Required Hours:
4 hours, or 8 hours (Same Price)

Course 301 $164.95, Level 2 & 3 - Traffic Violations. Specify the Number of Required
12 hours, or 16 hours (Same Price)

3-BTW-Auto $330.00, Behind-The-Wheel: Automatic
6 hours of BTW Automatic Transmission Training

3-BTW+Clutch $470.00 = $330 + $140, Behind-The-Wheel: Clutch
Same as BTW-Auto + 2 hours Clutch Training

BTW-U $120.00, Behind-The-Wheel: Brush Up (Auto)
2 hours Brush-Up Training -Automatic Transmission

BTW-U + Clutch $140.00, BTW: Brush-up + Clutch
2 hours Brush-Up Training using Manual Transmission

Course 500 $94.95, 8 Hours of Drivers Improvement
8 hours Driver Improvement (for seniors or fleet operators)

Course 501 $164.95, 16 Hours of Drivers Improvement
16 hours Driver Improvement (for seniors or fleet operators)

NOTES: Behind The Wheel driving time is provided daily, by appointment. All classes, including Level I & Level II Traffic Violations Courses, are 8:00 a.m. to 4:00 p.m. Students should bring a sack lunch or lunch money and a pen. Classes fill up quickly, so please register ASAP. If your choice of classroom dates is closed, you will be automatically entered into the next open class and immediately notified of the change. Call in advance if you want to book the class before submitting this form. All sessions are presented as individual units and can be attended out of sequence (example: sessions 3 & 4 may be taken first, before sessions 1 & 2) or if you miss a class, you can make it up by attending a later session. Full refunds are only granted before second class. No refunds will be granted after you complete the first half of your classroom session.

Additional Products & Services:
(Please check any additional services or products you may be interested in)

$20.00, Item 30 -- Magnetic Sign: "Student Driver-May Stop Suddenly"
$45.00, Service 10 - BOST: State Driving Exam (Conducted in CDI Car Only, for Non-CDI Students)
$40.00, Service 20 - BOST: State Driving Exam (Conducted in CDI Car Only, for CDI Students)

~ Enter Your Payment Information Below ~

Total = $_______________

Registration Payment Amount

Course Number(s):

Course Dates:

Preferred Month:

Preferred Location:

~ Pay by Credit Card ~

Credit Card Type:

Credit Card Number:

Expiration Date:

~ Pay by Electronic Bank Check ~

Bank Name:

Branch Phone#:

Your Account Number:

Your Check Number:

Bank Routing Number:

~ Additional Comments / Special Needs ~