Online Registration
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All fields are required
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First Name
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Last Name
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Email
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Date of birth
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Address
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City
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Zip
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Home Phone
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Cell Phone
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Contact Preference
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Medications
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Allergies
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I understand that if I do not show up for a drive prepared with my permit and other materials needed I will be charged for my instructor's time, but will not be allowed to drive. I understand that if I do not contact my instructor prior to missing a scheduled drive, I will be charged a No-Show Fee. Adults: must give at least 1 hour notice of cancellation in order to avoid the No-Show Fee.
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The No-Show Fee of $30.00 will need to be paid, along with all other fees and fines before the certificate of completion for the course will be given to the student.
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Adults will not be able to drive until all fines have been paid, or other arrangements have been made.
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(By entering your name in the space below, you are accepting the terms contained in this form, and validating that the information you've provided is current and legitimate.)
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I understand the form I am signing and agree to its content:
Please enter your full name below.
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Signature
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