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Kapolei High Driver's Education Program
Your completed form will be time-stamped, acceptance is based on first-come-first-serve basis. We can accommodate 30 students per session with 5 sessions per year.
Disclaimer: Please include active email addresses and functioning phone #'s, we are experiencing difficulties trying to contact individuals with non-functioning phone #'s and inactive emails.
Student Name (last, first)
Birth Date (month/day/year)
Current Driver's Permit #
Date permit expires (month/day/year)
County that permit was issued?
Student Phone Number
Mother's/Legal Guardian Name (last, first) & phone #
Father's/Legal Guardian Name (last, first) & phone #
Home Phone Number
E-mail address (actively checked)
What school are you currently attending?
Current grade or last completed grade.
Which session do you want to attend? (All entries are first-come-first-serve, you will be informed of the session you are in, at least 2 weeks prior to the orientation meeting) Sorry but sessions 1, 2, 3 & 4 are full and closed.
Session 5 (summer)
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