DRIVER EDUCATION SERVICES
ENROLLMENT
start
 
TUITION:  $1175.
After submitting this enrollment form, please send a check for $300. to:

Driver Education Services
3901 Leary Way NW  #1
Seattle, WA. 98107

The balance of $875. is due at the end of the program.

Within 48 hours of submitting this form, you will receive a confirmation package that includes;

• The IN-CAR DRIVE schedule
• Info. on the parent orientation session
• Directions on getting the Learner's Permit
• How the IN-CAR drives work

 
WHICH CLASS are you registering for?
OPTIONS:
• Winter-Spring 2018
Jan. 27/28  to May 5/6
Sat or Sun each weekend

•  Summer 2018
June 12 to August 2
Tues / Thurs 5 to 7 PM

• Fall 2018...1 day each weekend
Sept. 8/9 to Dec. 15/16
Sat or Sun each weekend *


 
STUDENT NAME:
(Legal names only, NO NICKNAMES) *

 
DATE OF BIRTH:
Must be 15 by class start date *

 
HOME ADDRESS:
No P.O. Boxes or Pseudo Addresses  *

 
STUDENT PHONE # *

 
DOES THE STUDENT HAVE A LEARNER'S PERMIT?
Detailed instructions on getting the permit will be provided upon enrollment *

 
STUDENT'S SCHOOL: *

 
PARENT LEGAL/GUARDIAN NAME: *

 
PARENT/GUARDIAN EMAIL:
Email,
not name please *

 
PARENT/GUARDIAN PHONE: *

 
WHERE DID YOU LEARN ABOUT OUR PROGRAM? *

 
IN-CAR DRIVE AVAILABILITY

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

Remember, we pick-up & drop-off at home, school or sports practice. All pickups at your HOME unless otherwise requested. 

Plan on 1.25 to 1.5 hour for each drive session. The 8PM drive ends at 9PM.

The 12 Sat. drive starts at OUR OFFICE.

The 2PM Sun. drive ends at OUR OFFICE.

If you do not yet know the student's availability for the 6 drives, please hold-off enrolling until you have that information. 

It is ESSENTIAL that you give VERY CAREFUL THOUGHT to this. Once the 6 drives are set-up and agreed-to, they must be stuck with. 

 

 
SUMMER CLASS DRIVE TIMES:
NOTE: If you enrolling for a SCHOOL YEAR
class, please continue down to the next section: "SCHOOL YEAR DRIVE TIMES"

 
TUESDAY drive availability:


 
THURDAY drive availability:


 
SATURDAY drive availability:


 
SUNDAY drive availability:


 
SCHOOL YEAR DRIVE TIMES

 
MONDAY drive availability:


 
WEDNESDAY drive availability:


 
SATURDAY drive availability:


 
SUNDAY drive availability:


 
Indicate any
• DAYS OF THE WEEK
• TIMES OF DAY
• SPECIFIC DATES
that the student is NOT AVAILABLE  for the 6 drives:

If there are no restrictions, please enter
"NO RESTRICTIONS"




*

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