St. Mary's High School Driver Education Permission/Registration Form Fall 2023 (September 25 - January 20) *Late Enrollees Welcome!*
This information will be used to complete your certificate, be sure it is correct!
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Last Name *
First Name (Full) *
Number / Address *
City / Town *
Zip Code *
Parent Email Address *
Student Email Address
Parent Phone number *
Student Phone number
Date of Birth *
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DD
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YYYY
Permit 9-Digit ID Number (Please write as XXX-XXX-XXX) If you don't have a permit at this time, please fill in 000-000-000. *
The Fall 2023 classroom session will have two Options:

Tuesdays: 4:50 pm - 6:20 pm

Tuesdays: 6:30 pm - 8:00 pm


If you are able to attend both times, please indicate "Both classroom options". Additionally, the classroom will be in-person at St. Mary's High School.
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Choose the In-Car days you would be able to attend. Please select at least two (2) in-car times; you will be slotted in one of those times. The driving options are as follows:

Monday - Friday: 3:10 pm - 4:40 pm; 4:50 pm - 6:20 pm; or 6:30 pm - 8:00 pm

Saturday: 8:30 am - 10:00 am; 10:10 am - 11:40 am; 12:10 pm - 1:40 pm; 1:50 pm - 3:20 pm; 3:30 pm - 5:00 pm.


Please select as many driving days as you can attend! You will be selected in for one of the times based on the day(s) you select. In the notes section, please let us know if you need a specific time or have any specific requests. All driving lessons start and end at St. Mary's High School at the front main entrance of the school. 
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Required

Both classroom and driving sessions will be once a week over the course of 16 weeks. There will be no classroom sessions on December 26.

Driving sessions will be every week. There will be no driving sessions on the following Holidays: Thanksgiving, Black Friday, Christmas Eve, Christmas Day, New Years Eve, New Years Day. Any driving sessions on a holiday will be made up at the end of the course.

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Notes - Please list any specific requests or accommodation needed here. Please note that if you can only make specific times on certain days, please make mention of those requests here. If no requests, please put "N/A". *
Please indicate the method of payment from which the $850 registration will be paid. Zelle, Venmo and personal checks are accepted. If paying via Zelle or Venmo, please email choffman@smhlancers.org for Venmo and/or Zelle details and verification. Please make any checks out to St. Mary's High School and mail to the school as soon as possible to secure spot. *
Must be at least 16 years of age and have a Drivers Permit at the start of the session.

*  Please mail any checks to St. Mary's High School, Attn: Driver Ed Program, 142 Laverack Ave., Lancaster, NY 14086. If you do not have your permit but will receive it after registering, email a copy of your permit to Chris Hoffman at choffman@smhlancers.org.

** There will not be a confirmation email upon submitting this Google form. Rest assured that as long as you are taken to the next page, the registration is time stamped and submitted. If you have any concerns, feel free to contact Chris Hoffman.
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Remember, we will try to accommodate everyone’s selections, but there is no guarantee!


Refund Policy:
Should the student withdraw or be dismissed after the first classroom session, refunds will not be issued.


Makeup Policy:
For missed classroom sessions, you are allowed two (2) unexcused absences from the classroom session that will need to be made up. For missed driving lessons (if selected), each missed driving session will incur a $50 fee and will be scheduled near the end of the course or another open spot if available. 

Instructions will be sent out via email at a later time from Christopher Hoffman, the Driver Education Coordinator.

Contact Christopher Hoffman at choffman@smhlancers.org with any questions!
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Parent Signature: By typing your full name on the line below, you agree to give your son or daughter (whose information is listed above) permission to attend the Driver Education Program conducted at St. Mary’s High School during the Fall 2023 semester. The course will commence on September 25, 2023, and continue through January 20, 2023. Additionally, I agree that there will be no refunds beyond the start of the program on September 25, 2023. *
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