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By checking this box, I have read and agreed to all the terms mentioned in the IXL Driver Training Policy Statement.
Enrollment Selections
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Student Road Test Consent and Release Form
I,
authorize IXL Driver Training
to book road tests on my behalf and disclose the following personal
information to the Insurance Corporation Of British Columbia (ICBC) for the
purpose of booking a road test, in accordance with Sections 26 and 27 of the
Freedom of Information and Protection of Privacy Act (the Act):
1. I understand that if I fail to attend a road test appointment booked on my
behalf without providing either at least 48 hours notice of cancellation to
ICBC, or a reason for my failure to attend that is satisfactory to ICBC, I will
be charged a $25.00 fee for each missed test at my next road test
appointment. This $25.00 fee is in addition to the usual road test fees.
2. I understand and agree that ICBC may use the above information to
update its customer database; and that ICBC will not disclose the above
personal information to any external third party without your consent
except where authorized by law, or for law enforcement purposes.
3. I understand that ICBC maintains physical, electronic, and procedural safeguards in
compliance with the ACT to protect your personal
information.
Date:
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