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2024 - Summer Driver Education
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Email
*
Your email
When is your birthdate?
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Your answer
Which session would you like to sign up for?
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June only
July only
Student Name - As it appears on their learner permit
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Your answer
Jordan School District Email Address - We will email you when you are accepted into a class.
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Your answer
Parent/Guardian email?
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Your answer
Learner Permit # (9-digits on the top of the permit)
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Your answer
Permit expiration date
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Your answer
Grade you will be in the 2024-25 school year
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10th grade
11th grade
12th grade
Guardian/Mother - Legal name
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Your answer
Guardian/Father - Legal name
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Your answer
Parent's Cell #
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Your answer
Student's Cell #
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Your answer
Home Address - Street Address, City, State, Zip
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Your answer
List the school you want your grades sent to: (Example: Bingham High School)
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Your answer
Student ID #
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Your answer
Send me a copy of my responses.
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