THE 2018 WINTER PROGRAM IS NOW FULL
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THE 2018 WINTER PROGRAM IS NOW FULL

 
STUDENT NAME (First, M.I., Last) 

*

 
STUDENT D.O.B.
Must be 15 by class start date *

 
Does the student have a Learner's Permit? *

     
 
STUDENT HOME ADDRESS
(No P.O. boxes or pseudo addresses) *

 
STUDENT'S SCHOOL: *

 
CLASS START DATE:
i.e. 2018 Winter / 2018 Summer / 2018 Fall *

 
PARENT / GUARDIAN NAME: *

 
PARENT / GUARDIAN EMAIL:
(Email, not name please) *

 
PARENT / GUARDIAN PHONE: *

 
STUDENT PHONE #:

*

 
WHERE DID YOU LEARN ABOUT US? *

 
In this section, you will indicate when the student is & is not available for the 6 IN-CAR DRIVES which are separate from the CLASS.

>>>>>  Dec. 5     9:00 AM <<<<<
IMPORTANT UPDATE: PLEASE READ !!
The in-car drive schedule is almost full for the upcoming Winter 2018 class. 

If you want to enroll in the program, most or all of the 6 IN-CAR DRIVES will have to be done in May into early June.
ALSO: We need a reasonable amount of availability for the 6 DRIVE times. If you indicate (for example) that the student is only available 1 or 2 hours a week, that is not not sufficient. 

Because the students must hold the permit for 6 months before getting their license, this will not delay when they can get their license.



PLEASE, give very careful thought to this information. Check the student's school, sports and vacation schedules. Once the drive dates are set-up & agreed-to, they must be stuck with.

DO NOT just fill in dates randomly the make the form be accepted!

The drives begin & end at your home, school, or sports practice.
Plan on a total time commitment of 1.25 to 1.5 hour for each session.
The LAST DRIVE of the day is a total of 1 hour.

 
MONDAY DRIVE AVAILABILITY:
 
*


 
WEDNESDAY DRIVE AVAILABILITY:

*


 
SATURDAY DRIVE AVAILABILITY:
NOTE: The 12 PM drive starts at out office *


 
SUNDAY DRIVE AVAILABILITY:
NOTE: The 2 PM drive ends at our office *


 
Please indicate when the student IS NOT available for the drives.
Specific dates, days of the week, times.

Please enter: "NO RESTRICTIONS" if that is the case.


*

 
PARENT / GUARDIAN AUTHORIZATION:
By selecting "Yes", you grant the student permission to participate in the driver education program
*

     
 
WHAT HAPPENS NOW?
Within 48 hours (usually sooner) you will receive the Confirmation Package that includes;
• The schedule for the 6 IN-CAR DRIVES
• How to get the Learner's Permit
• Information on the Parent Orientation Session

 
THANK YOU....
We look forward to having your son /daughter in our program!

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