Drivers Education Program - Summer


Registration Form

Registration Form


* required fields



Session #1 - 10 Days: -7:30am - 2:00pm (Monday-Friday) - June 5, 6, 7, 8, 9, 12, 13, 14, 15, 16 *

Preferred School Location:

If you are willing to consider an alternate school for Session 1, please select the schools you are willing to consider below:











Session #2 - 10 Days: -7:30am - 2:00pm (Monday-Friday) - June 19, 20, 21, 22, 23, 26, 27, 28, 29, 30 *

Preferred School Location:

If you are willing to consider an alternate school for Session 2, please select the schools you are willing to consider below:











Student First Name: *
 
Student Last Name: *
 
School attended during school year: *
 

Grade during current school year (22/23) : *
  Seniors who have graduated will NOT be eligible to attend 

Address: *
 
City: *
 
State: *
 
Zip Code: *  
Daytime Phone: *
- -
Date of Birth: *  
 
Parent/Guardian: *
 
Parent/Guardian Email Address: *
   (Required for notification of student/parent)*
 

* STUDENTS SHOULD BRING A SNACK/LUNCH AND DRINK WITH THEM.

Session #1 10 Days: -7:30am - 2:00pm (Monday-Friday) - June 5, 6, 7, 8, 9, 12, 13, 14, 15, 16
Session #2 10 Days: -7:30am - 2:00pm (Monday-Friday) - June 19, 20, 21, 22, 23, 26, 27, 28, 29, 30
Cost: $175.00 Lab Fee (Fee is NON-REFUNDABLE)
Requirements:
  • Students must be at least 15 years old and must have a learner's permit or operator's license when the session begins
  • Two (2) absences result in an automatic withdrawal from the course
  • Proper footwear is required - NO sandals or slides.
  • There is a forty (40) student maximum per site for each session
  • Seniors who have graduated are NOT eligible
I confirm that I have read and understood the necessary requirements needed to apply for the driver education program.
 *