Traffic School

9150 E 41st Terr, Suite 215, KCMO, 64133
(816) 842-5223 *1
shc@shcmoks.com
Defensive Driving: "Driving to save lives, time, and money in spite of the conditions around you
and the actions of others."

(If you have signed up and paid for a class, but now have to reschedule your class date, please call our office at (816) 842-5223 Ext. 1.)

You are enrolling in the Safety and Health Council of Western MO and KS Traffic School

Choose your class below.
Please fill out all required fields.
We will contact you when your payment has been processed.

Student Name:
First Name
Last Name
Students Birthday
Daytime Phone
Email
Student's Address:
Address
Zip
City
State
CC Billing Info:
CC Billing Address
CC Billing Zip
Which Class do you need to Take?
Please Choose Class Alive @ 25 DDC 8-Hour DDC 4-Hour
Room #
N/A
Enter the number 0 below if you do not have a code number.

If you have gone through the Springfield Municipal Court Systems please contact us at 816-842-5223 for the number you will need.
Court Systems Code
Ticket & Class Additional Info:
Ticket# (If Applicable)
Offense State
Choose Court:
Drivers License#
I agree that registration is non-refundable.
Terms and Conditions

I understand that if I do not attend the entire class on the above date and time for any reason, I forfeit the pre-payments made. It is at the discretion of the Safety and Health Council if I will be allowed to reschedule for an additional date. I understand the class must be completed within a restricted time frame. I understand that if I do not complete the program, I will receive NO REFUND. Call 816-842-5223 to reschedule. No guests allowed

Please e-sign your full name here, indicating that you agree to these terms and conditions.

Register for Class

Student Name:
First Name
Last Name
Students Birthday
Daytime Phone
Email
Student's Address:
Address
Address2
Zip
City
State
CC Billing Info:
CC Billing Address
CC Billing Zip
Selected Class Info:
Selected Class
Fee Due Today
Selected Location
Directions to Class
Class Address
Room #
Selected Date
Payment Status:
Date Paid:
Class Additional Info:
Court Systems Code
Ticket# (If Applicable)
Offense State
Name of Court:
Drivers License#
I agree that registration is non-refundable.
Terms and Conditions

I understand that if I do not attend the entire class on the above date and time for any reason, I forfeit the pre-payments made. It is at the discretion of the Safety and Health Council if I will be allowed to reschedule for an additional date. I understand the class must be completed within a restricted time frame. I understand that if I do not complete the program, I will receive NO REFUND. Call 816-842-5223 to reschedule. No guests allowed

Your e-sign SIGNATURE, indicating that you agree to these terms and conditions:

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(If you have signed up and paid for a class, but now have to reschedule your class date, please call our office at (816) 842-5223 Ext. 1.)

You are enrolling in the Safety and Health Council of Western MO and KS Traffic School

Terms and Conditions

Terms and Conditions