Drivers Education Program

Price

$475.00

Max Capacity:25Spots Available

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email*

Parent/Guardian Phone Number*

Student First Name*

Student Last Name*

Student Email

Student Phone Number

Student Date of Birth*

Enter Driver's Permit # (if you have it, you do not need it though! You can come to class even if you are 15)

I have read and agree to the Fee Schedule & Policies, and I understand the rights and responsibilities of Driving Schools, Students, and Parent/Driver Coach.*

Student Signature*

Parent/Driver Coach Signature*

Preferred Contact Method

Payment Information*

Payment amount:

$475.00

Total to pay:

$475.00