Drivers Education Program - Summer


Registration Form

Registration Form


* required fields



Session #1 - 10 Days: 7:30am - 2:00pm (Monday-Friday) - June 3, 4, 5, 6, 7, 10, 11, 12, 13, 14 *

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 17, 18, 19, 20, 21, 24, 25, 26, 27, 28 *

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 (23/24) : *
  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 3, 4, 5, 6, 7, 10, 11, 13, 14
Session #2 10 Days: 7:30am - 2:00pm (Monday-Friday) - June 17, 18, 19, 20, 21, 24, 25, 26, 27, 28
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.
 *