PHS Driver Education Information Request
Filling out this form will allow you to receive notifications for the next available  Driver Education Class and notify you at least two weeks prior to a new class starting telling you that Registration for that class is open. When you are notified by email you will need to register your student to hold a spot for him/her in class. Filling this form out does not register your student for class only allows you to receive information about up coming classes and requirements. You will only need to fill this form out once unless you have more than one student that needs to take the class. Please be sure to fill out all of the information completely and  correctly.
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Email *
This Does not register you for class. If there is a class scheduled at your high school please fill out the Registration form to sign up for the class.
Confirm Email *
Parent Information
Parent Name (First and Last) *
Parent Phone Number *
Student Information
Please make sure to answer questions correctly. Students must be 14 years and 6 months on or before the first day of class. Please do not fill out this form if your student is younger than 14 yrs and 4 months.
Student First Name *
Student Middle Name *
Student Last Name *
School Student attends *
Students Date of Birth (Please make sure to enter year student was born) *
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Students Email (optional)
A copy of your responses will be emailed to the address you provided.
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