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****Announcing 2022 End of the year Sale on Teen and Adult Beginner Driving Courses ********* Today (Dec. 3rd) through Sat. Dec. 31 you can enroll for any of our Teen or Adult Basic, Preferred, or Preferred Plus courses for $40.00 Dollars Off This Sale is limited. (No other discounts can apply and payment must be made to receive discount, the price is already adjusted for the Sale) As little as $100.00 down will reserve a spot at the discounted price, with the balance to be paid before the date of the 8 hour classroom training. Please don't miss the opportunity for some real savings on quality Drivers Education, reserve a spot in a spring or summer class now at this disc. price.

Adult Beginner Course Enrollment

Please complete the form as completely as possible to start your enrollment in our school.
Class Date and Program Selection

Student Information

Emergency Contact Information

Student Medical Information

Does the student wear glasses / contacts?*

Does The Student Have Any Impairment That Would Prevent Him / Her From Receiving And Applying Verbal Instruction / Direction ? If So, Please Explain:*

Are There Any Conditions That We Should Know About That Could Affect A Student's Driving Capability Physically?*

Does The Student Take Any Medication? If So, What Kind & What Is It For? (Please List All)*

Please Let Us Know If The Student Has Ever Been Diagnosed With Any Of The Following: (Check all that apply)

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