March 2020 Profile Driver Education Pre-Registration

The start date has been set for Sunday, March 15th fro 5:30-7:30 PM in the Profile cafeteria. As of this edit - I have two remaining seats open. This form is to collect Names and Contact information for students and parents. Please fill it out and I will send you the registration package of forms in February if you don't already have them. The forms can be filled out by computer and then printed or if you prefer they can be printed first and filled in by hand. The tuition is $650.00 and it can be paid in payments if that is helpful. For payments, the requested method is two payments of $325 a month apart, but, if that is difficult for you, please contact me to work out arrangements.
PLEASE NOTE: Your student will not receive their certificate until the full tuition is paid.

OUT OF DISTRICT STUDENTS PLEASE NOTE: The driver education vehicle is leased by the Profile School District. Use by students who live outside of the district require a use fee paid directly to Profile School (separate check or cash) of fifty dollars ($50.00).

AGE REQUIREMENT: Note that any student MUST be at least 15 and 9 months old on the date that we start the class.

CLASS SEAT LIMIT: I expect to cap the students in this class at 16 so that I don't have to work 60-hour weeks. If they miss this one, I should be starting another soon after this one ends.

Any questions can be posed to me by email at: littletondrivered@gmail.com. More urgent inquiries you may call my cell at: 603-616-9495.
Student's Full Name (Legal name on Birth Certificate): *
Your answer
Student's Date of Birth: *
NOTE that by State Rule the student MUST be at least 15 and 9 months old by the first class date to be eligible for this class.
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Legal Street Address: *
Where you actually live. NO P.O. Boxes or work addresses.
Your answer
Town / Zip *
Your answer
Student Cell Number: *
Your answer
Student email address: *
Your answer
Parent(s) Name(s): *
Please list both if a two-parent household.
Your answer
Parent(s) Cell Phone(s): *
Your answer
Parent(s) Email Address(es): *
Your answer
Home Phone Number:
Your answer
What school are you enrolled in? *
Note that anyone who lives outside of SAU35 covered towns must pay a $50 Use Fee for the use of the driver education car that the Profile District leases for this program.
Are you involved in any sports or other activities like Drama that might be impacted during this class? If yes, which ones? *
Your answer
Anything else I should know about before you start classes?
Your answer
PLEASE NOTE THAT YOU WILL NEED YOUR SON/DAUGHTER'S RAISED SEAL BIRTH CERTIFICATE OR VALID PASSPORT BY THE FIRST CLASS.
I need to SEE the original and if you could please make me a COPY I can keep. So many people are good with PhotoShop that the State requires that I see an original and keep a copy.
PLEASE - IF YOU HAVE NOT STARTED DRIVING WITH YOUR SON OR DAUGHTER - GET OUT THERE!! EVEN IF JUST PARKING LOTS AND BACK ROADS!! THANK YOU!!
Thank you for your interest in the Winter Drivers Education Program at Profile High School with Precision Driving School!
We will get back with you soon!
Please like our Facebook page at: www.facebook.com/PrecisionDS and please stop back once your teen completes the class and leave a review! Thank you!
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