604 LADYBUG
604 523-9284
ladybugdrivingschool@gmail.com
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Registration
Full Name
Address
City
Phone
Email
D.O.B (yyyy-mm-dd)
Driver License Number
Issue Date (yyyy-mm-dd)
Expire Date (yyyy-mm-dd)
Previous Driving Experience
Desired Sessions
Individual Anxiety & fear Coaching with Kaniz (Vitual) $100
6 hour Coaching sessions with Kaniz (Virtual) $500
Individual Anxiety & fear Coaching Session (In Car) $150
Anxiety & fear Coaching Package 5 Hrs (In Car) $700
Anxiety & fear Coaching Package 10 Hrs (In Car) $1300
No Anxiety packages
Individual Coaching Session (In Car) $120
10 hour Coaching Package (In Car) $1000
Road Test Preparation ONLY. No car for the day of the Road Test (In Car) $500
Level of Anxiety
None
Mild
Medium
Severe
How Did You Hear About Us
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