I.Drive 2025 Registration Form

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Name:

First

Last

Date of Birth:

Ethnicity:

Address:

Phone Number:

Email:

Name of Parent/Guardian:

First

Last

Relationship to Parent/Guardian:

Parent/Guardian's Phone Number:

Do you identify with a disability?:

about Address: Phone

Is there anything else you would like us to know about your accessibility needs?:

Registration Dates for I.Drive Learner Licennse:

Tell us what you're most excited for the I.Drive 2025!:

Restricted: Please contact Abdulla for course dates

Can’t make it to these areas? Please let us know and we will aim to bring the course to a venue near you!

Any inquiries or to learn more about I.Drive, please contact Abdulla: abdulla@yesdisability.org.nz