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TSP Registration Form Updated
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Date of Birth
Driver License Number
State License Was Issued
Case or Ticket Number
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Read the following carefully before signing.
I hereby certify and agree as follows: I am the person named above. I understand that I have the right to either contest or mitigate the infraction(s) I have been charged with in the citation(s) listed above. Rather than exercising either of those options I wish to voluntarily enter into the Traffic Safety Program. I understand that my participation in this program only applies to the traffic citation that I have received and that any other infractions that I may have received will have to be addressed separately with the Court. I agree that I have committed the traffic infraction listed on the citation above. As a participant in the Traffic Safety Program, I understand and agree to the following conditions: (1) I agree to complete the 19-DEFENSIVE DRIVING class through Yakima County Probation Services by thirty days from today, (2) I agree to pay the registration cost of $120.00, (3) I understand that if I complete the class as required that the Yakima County Prosecutor’s Office will move to dismiss the traffic infraction only, (4) I understand that failing to complete the class within 30 days from today, will result in the Court finding the traffic infraction committed without further notice or hearing to me and the Court will report the finding to the Washington State Department of Licensing. I hereby certify under the penalty of perjury under the Laws of the State of Washington that my foregoing statements are true and correct. Signed in Yakima (City), Washington (State) on:
Payment Confirmation Number
You must pay for the class and receive a confirmation number before you will be registered.
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Defensive Driving School
Defensive Driving School (Spanish)
Cost Recovery (Spanish)
Please select which class you would like to register for.
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Date of Class
Date of Class
Enter the date you want to take the class. Leave blank if selecting online.
Class Enrollment Agreement
By completing this registration form I understand that the $120.00 class fee is non-refundable. If I am unable to attend the class for any reason I must contact the Program Coordinator, Vita Alvarez via phone at 509-574-1892 or by email at Vita.Alvarez@co.yakima.wa.us, as soon as possible. I am aware that I will only be rescheduled one time. If I miss the rescheduled class for any reason I will be required to pay the $120.00 fee once more.
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