Broward-Dade Safety Council

Ready to take your 4 Hour First Time Driver course online?
Just fill in the 4 areas below and you can begin right away!

English and Spanish versions available.
The State will be automatically notified of your successful completion.
Backup copy of Login Username and Password below will be emailed with your receipt.

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1. Student Information

2. Payment Information

Payment Amount

$30.00 USD

Check to Copy Student Information to Billing Information

Student First Name

Billing First Name

Student Last Name

Billing Last Name

Address

Billing Address

City

Billing City

State

Billing State

Zip Code

Billing Zip Code

Home Phone

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Credit Card Number

How Did You Hear of Us?

Expiration Date (mmyy)

Credit Card Verification Code

3. Student Agreement

4. Course Enrollment Information

The student named on this screen consents to the enrollment and participation requirements of the online Drug, Alcohol, Traffic Education (D.A.T.E.™) course found at MyFirstLicense.com.

The student is a resident of the state of Florida and is at least 14 years old at the time of course registration.
The student will personally take the course and exams without assistance of another person.
The student will read the entire Drug, Alcohol, traffic Education (D.A.T.E.™) course guidelines and agree to all of its terms, rules and procedures for completion of the course.
The student will allow all information to be disclosed and/or tracked for studies and/or audits pertaining to the effectiveness and compliance of the online Drug, Alcohol, traffic Education (D.A.T.E.™) course found at MyFirstLicense.com.
The student is aware that this program must be completed within 90 days of receipt of access to course site.
The student has reviewed all statements made on this form and agrees that they are true and correct.

I Do Not AgreeI DO Agree

Enter your desired User Name and Password that you'll use to log onto the www.MyFirstLicense.com website to take the DATE course.

User Name (at least 8 characters long, letters and numbers only)

Password (at least 8 characters long, letters and numbers only)

Confirm Password

Email Address

Language of Course

The following information is required to upload the Course Completion to the State of Florida:

Student Gender

Student Date of Birth (mm/dd/yyyy)

Last 4 Digits of Student's Social Security Number

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