Register Online!

Please fill out the registration form and press submit. You may then
proceed to paypal to pay by credit card. You do not need a paypal
account to use this service.

If you are paying by cash or check please drop it at your child's
school with the downloadable form. Once your payment is received
you will receive a confirmation via email.

Students Name:

Students Age:

School Attending:

Teachers Name at School:

Parents Names:

Address:

City, State, Zip:

Email:

Phone:

Click on payment type:

Classes:
please enter the
classes you are
registering for

Total

I understand that by submitting this form, I am consenting to the release of Impact on the road, Inc their officers, agents,employees and staff from any and all liabilities. I also understand that Impact reserves the right to combine, cancel or provide substitutes for classes at their discretion. I understand Impact may combine cancel or provide substitutes for any class at their discretion. I understand that if I choose to pay for the semester in installments, my payments must be paid on the due date specified. If payment is not received by the due date, I understand that the student will not be allowed to attend class until payment is received. I understand then that there will be no refunds for missed classes due to non-payment. I also understand I am responsible for the full amount of the tuition regardless of whether or not the student registered completes the semester. Due to the nature of the classes, the preparation and the materials involved, tuition can not be prorated for missed classes. I understand that tuition is non refundable.

If you have submitted your registration
and do not get redirected to the
confirmation and paypal page click
here .

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