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Driver's Permit Form Request
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* Indicates required question
Email
*
Your email
Student's full name (LAST, First Middle)
*
Your answer
Student's birth date
*
MM
/
DD
/
YYYY
Student's home address
*
(proof of residence will be required if address is different that what is on file at the school)
Your answer
Parent/guardian name (Last, First)
*
Please list the parent/guardian who will be taking the child to the DMV
Your answer
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