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Student Signup Form
FMHS Drivers Education Student Signup Form
* Indicates required question
Email
*
Record my email address with my response
Pre-Registration Number
*
Your answer
Pre-Registration Personal Email
*This is the email you used to register with the State.
*
Your answer
Class Month Choice
*Choose which set of classes you want to take. You must be able to attend all 5 classes in the month that your choose to meet the 30-hours of classroom instruction.*
*
Class #1 September 2026
Class #2 October/November 2026
Class #3 January/Februray 2027
Class #4 March/April 2027
Class #5 May/June 2027
Student Legal Name
*
Your answer
Student Address, City, Zip
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Student Current Age
*
Your answer
Student Phone Number
*
Your answer
Student Personal Email
*
Your answer
Parent Name
*
Your answer
Parent Phone Number
*
Your answer
Parent Personal Email
*
Your answer
A copy of your responses will be emailed to .
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