Rock Valley 2019 Driver's Education Pre-registration

Please complete this pre-registration form for your son or daughter to enroll them into the 2019 Rock Valley Driver's Education. We are offering two sessions this summer. Both sessions will require attendance to the 30 hours of classroom instruction in addition to the 6 hours of required driving instruction each student needs to complete. The law requires that the 6 hours of driving be completed within 30 days of the last day of class. For example, June 11th is the last day for the 1st June session, so students who took this session must have their driving completed by July 11th.

Please complete the registration form by February 20, 2019. At that time, we will review the registrations and those who are 14 or older and hold a learner's permit will be considered for this session. Priority will be given to age first. Please indicate your preference for first or second session. Please understand you are only identifying your preference. This does not ensure your enrollment into that session.

The Driver's Registration Fees for the upcoming 2019 classes are as follows:

Resident of Rock Valley CSD - $285
Non-Resident of Rock Valley CSD - $385

The Driver Ed fee will be collected when final registration letters are sent in April. If you have any questions, please feel free to call Rock Valley Schools at 712-476-2701.

Thank you!

Email address *

Student's First Name *

Your answer

Student's Middle name *

Your answer

Student's Last Name *

Your answer

Date of Birth *

YYYY

Does your son/daughter have their learners permit? (Students must have their permit as late as May 1 for the first session, and as late as June 1 for the second session.) *

Yes

Maybe

Parent/Guardian Name *

Your answer

Street address/PO *

Your answer

City *

Your answer

Zip Code *

Your answer

Parent/Guardian Phone Number *

Your answer

Student Cell Phone Number *

Your answer

Emergency Contact/Phone Number *

Your answer

Resident district or Non-resident of the Rock Valley School District *

Resident

Non-resident

School your child attended 2018-2019 School Year *

Rock Valley Community

Rock Valley Christian

Western Christian

Netherlands Reformed

Doon Protestant

Hull Protestant

Inwood Christian

Trinity Reformed

Other:

Which session would you like to attend? Please note, request does not ensure enrollment in that section. *

First Session: May 29-31, June 3-7, 10-11.

Second Session: June 24-28, July 8-12.

Either

Are you involved in Jr. High baseball or softball? *

Yes

A copy of your responses will be emailed to the address you provided.

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