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Drivers Education-PLEASE DO NOT START UNTIL DIRECTIONS ARE GIVEN
Basic information for drivers education class.
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* Indicates required question
Students name (AS IT APPEARS ON YOUR BIRTH CERTIFICATE)
*
Last name, First name, Middle name
Your answer
Birthdate
*
MM/DD/YYYY
Your answer
School you are presently attending
*
Click school you attend
LNHS
SIHS
WIHS
PLP
LP
VPAC
Homeschool
Langtree
Other (See Mr. Walters)
What grade are you currently in?
9th
10th
11th
12th
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Phone number (###)###-####
*
Phone number in case of emergency
Your answer
Parent email
*
Please put an email that you're parents can be reached at.
Your answer
By checking the box, you understand that you can not miss a single drivers education class and all rules stated by Mr. Walters/Kirby must be followed or you will be removed from Drivers Education class.
*
I understand
Required
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