Registration: Supplemental Parent Class
The goal of this supplemental parent program is to work with parents and teen drivers to reduce the number of crashes, injuries and fatalities.  Parents will receive a certificate of completion which reduces the number of required hours on the Driving Log from 50 hours to 40 hours.  This form will collect all of the information needed to create the Parent Certificate and an email address so I can email the the Zoom session information for Tuesday, March 16th from 5:00-6:30.  There is no fee for this class.
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Email *
Parent Name: Please double check spelling as this will be the way it is spelled on your completion certificate. *
Student's Legal Name (First, Middle, Last): *
Student's Date of Birth: *
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Mailing Address where you want to receive your Parent Completion Certificate:
Phone Number:
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