Renwick USD 267 Summer Driver's Ed Enrollment Form
Please fill out the entire form completely and accurately to enroll in the 2024 Summer Driver's Education program at Andale High School (applicants must be a Renwick student).  Your enrollment is not complete until Andale High School or Garden Plain High School receives your signed registration forms and payment of $215 (cash or checks payable to Andale High School or Garden Plain High School).

Online registration needs to be completed PRIOR to the March 19th meeting. If you are registering after March 19, please contact Jeff Buchanan by email jeff.buchanan@usd267.com   
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Email *
Legal First Name of student enrolling in Driver's Ed: *
Student's legal name as it appears on his/her Birth Certificate and/or Social Security card
Middle Name: *
Legal Last Name of student enrolling in Driver's Ed: *
Student's Last Name as it appears on his/her Birth Certificate and/or Social Security card
Suffix:
(II, III, Jr.)
Student Phone Number: *
Type in this format: XXX-XXX-XXXX. This will be given to the students assigned driving instructor to help with communication for pickup & drop off locations
Street Address: *
Please list the address where the student will be picked up during his/her driving session
Address Line 2 (if necessary):
(P.O. Box)
City: *
State: *
Zip Code: *
XXXXX
Gender: *
Date of Birth: *
XX/XX/XXXX  -  Please double check that the month, day, and year are inputted correctly!
MM
/
DD
/
YYYY
Eye Color: *
Do you wear corrective lenses or contacts? *
Height: *
(Example: 5' 9" - round to nearest inch)
Weight: *
(lbs)
Please check your preferred classroom session dates: *
Student MUST attend all their assigned class sessions in order to pass Drivers Education. 
Please check any week between May 20 - July 26 you would NOT be able to drive:
Most driving takes place in the morning or early afternoon on each day during the student's assigned driving week. If you have a particular part of the day you are unable to drive, please specify that in the NEXT question instead of marking that you can't drive an entire week. Please limit the number of weeks you check "not available" - this makes scheduling extremely difficult. 
Please list any other information that will assist us in enrolling your son/daughter into the Driver's Ed program
Planning to attend morning weightlifting, basketball camps/workouts, football camp, volleyball camp, any other conflicts or concerns? Listing does not guarantee we will be able to schedule around everything!  
List other students enrolled in drivers education that live near you:
(this will help us with grouping students during the driving portion of class)
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