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2025 Summer Driver Ed
Those Interested in the summer program, please complete this form. You/your student are NOT enrolled in the course by completing this form. All students (Lisle and Benet) must complete this form for summer.
* Indicates required question
Email
*
Your email
Student FULL Name
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Your answer
Student Birthday
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MM
/
DD
/
YYYY
student cell phone number for parentsquare
*
Your answer
parent cell phone for parentsquare
*
Your answer
Home Street Address
*
Your answer
City, State
*
Your answer
zip code
*
Your answer
Parent full name
*
Your answer
Parent email address
*
Your answer
student SCHOOL email address
*
Your answer
Public School (your student would have attended)
*
Your answer
Public School District (your student WOULD have attended)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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