Madison Class Registration
Registration for Drivers Ed class at Madison High School (Not an online class)
January 13 - 24 Hours: 3:10 - 6:10 pm (School Days)
If days are missed due to weather conditions additional days will be scheduled.

Attendance all days is required
Students must be at least 14 1/2 on the first day of class (DOB on or before 7/13/05)
Fee is $42.00
Students should bring paper, pencil, pen, highlighter
Bring a NC Handbook at any Driver's Examiners Office (they are free)

**Seats will be granted to the first 50 that complete payment. Payment must be made using PayPal/Credit/Debit card. Class fee is non-refundable and non-transferable, please make sure you can attend all classes in their entirety.
If you do not receive a confirmation email (sent to parent email), please contact info@mtnpro.com
Student First Name *
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Student Last Name *
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Student Email Address *
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Address 1 *
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Address 2
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City *
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State *
Zip *
Your answer
Phone *
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Students Date of Birth (mm/dd/yyyy) *
MM
/
DD
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YYYY
Grade level *
School Attending *
Your answer
Other (Homeschool)
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County *
PARENT INFORMATION
Parent Name *
Your answer
Parent Email *
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Parent Phone *
Your answer
**I have read and understand all information provided regarding this class, and requirements. **I understand that attendance is required for all dates. *
**I understand payments are non-refundable or transferable for any reason. *
By clicking Submit, I certify that the above information provided is accurate and you hereby agree that MPI may collect, obtain, store and process your personal data that you provide in this Form for the purpose of considering your feedback as described in this Form and/or for receiving updates, news, promotional and emails or material from MPI. You hereby give your consent to the MPI to:-a) store and process your Personal Data; b) disclose your Personal Data to the relevant government authorities or third parties where required by law or for legal purposes.
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