Request edit access
Summer 2024 Driver Education Registration Form
Student Registration Form:
 
PLEASE READ CAREFULLY!
  • Students MUST BE 16-years old by July 9, 2024 - NO EXCEPTIONS.
  • Please DO NOT call the school for questions related to Driver Education. If you have any questions, please contact Mr. Darren T. Moran, the Director of Driver Education, via email at: dmoran@stepinac.org
  • Student's information MUST BE entered EXACTLY as it appears on their permit/license. Any misinformation is the responsibility of the student/parent.
  • The information that you enter on the registration form will be what we use to print the MV-285 certificates and student roster. If there is a mistake on the certificate because the wrong information was entered on the registration form, there will be a $30 fee for a replacement certificate.
  • Every student MUST have their permit or license by he first day of the semester.
  • Refunds are given at the discretion of the Stepinac HS Principal. Additionally, they will be subject to a $50 fee. No refunds will be given after July 9, 2024.
  • The Orientation is MANDATORY for the PARENTS, and optional for students. If a student attends the orientation along with their PARENT, they will get credit for the first week's lecture.
  • The Orientation will be held in person at Stepinac HS, in the Cafeteria. You will enter via the rear entrance of the school. 
  • The DRIVING SLOTS will be selected at the Orientation Day you selected, on a first come, first served basis.
Payment must be processed, for registration to be complete. 



Parent /Guardian email.  Where confirmation will be sent. 
Sign in to Google to save your progress. Learn more
Email *
First Name: *
Last Name: *
M.I. (Only the middle initial is printed on the certificates)
Address: *
City: *
State: *
Zip Code: *
Birth Date: *
MM
/
DD
/
YYYY
NYS License/Permit ID# (Enter "0" if you don't have permit # yet): *
Student's Cell Phone Number:  *
Student's email *
School Currently Attending *
Select Parent Orientation Date/Time *
Parent/Guardian Name: *
Summer 2024 Parental Consent. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Archbishop Stepinac High School. Report Abuse
Google Forms