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Classroom Registration
Please use this form to register for our classes.
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Email
*
Your email
What class are you signing up for?
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Choose
2/6/23 - 3/7/23 -- MTWTH 6:00-8:00 pm
3/13/23 - 4/17/23 -- MTWTH 6:00-8:00 pm (No classes over spring break)
4/25/23 5/25/23 -- MTWTH 6:00-8:00 pm
I would like a future class
Student's First and Last Name
*
Your answer
Phone #
Your answer
Today's Date
MM
/
DD
/
YYYY
Student's Birthday
Your answer
How did you hear about Driving 101?
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Returning Family
DOL
Drove by
Referral - Friends
Referral - Family
Referral - other Driving School
Referral- Caveman
Referral - Other
Close to home
Online Search
Social Media
Family found it
Calling around
Other
WDL / Washington Driver License / Permit # (OPTIONAL)
Your answer
How old will you be on the first day of class
Choose
15
16
17
18
19
20
21
22
23
24
25
26
27
28 +
Are you planning on paying in full or a payment plan? (Payment is due when you get your permit, 10 days before class starts)
Pay in Full
Two payment option
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Email - Student (for the Zoom link to class)
Your answer
Email - Parent / Guardian email address
Your answer
Mailing Street Address
*
Your answer
City, State and Zip Code
*
Your answer
A copy of your responses will be emailed to the address you provided.
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