Student enrollment form

Please complete this form and submit payment unless other payment arrangements have been made by your employer or school.

*By completing this enrollment form, you are agreeing to receive emails from Elite ELDT and to our terms of use, which can be found at https://eliteeldt.com/terms-of-use/

Student Enrollment Form 2026
First then last name as it appears on your license
Leave this blank if it does not apply to you.
EXACTLY as it appears on your driver's license (including dashes, spaces, etc).
Note: Online courses not valid in WA.
If you wish to purchase more than one, please complete a separate form for each course.
Note: If submitting form without payment, select "Credit Card" but leave other fields blank.

Please allow 2-3 hours for your login information to arrive by email.  Thank you!