Registration Form Accelerated Winter Break December 20th-January 4th 2026 Class/Site (Nevada)
Thank you for choosing Terrones Driving Academy! Please fill out this form to register your student for our Accelerated Winter Break December 20th-January 4th 2026. Nevada will be the host site for this class.  Students must be able to drive over the 2 week winter break. There is limited seats for this class.  Information for the online portion and scheduling for the driving portion of the course will be sent out 3-5 days before the start date.
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Student Name (First, Middle Int, Last)
Instructional Permit #
Instruction Permit expiration date (month,day,year)
School Attending '2025
Grade Level
Date of Birth
MM
/
DD
/
YYYY
Any disabilities physical or learning that teachers should be aware of?
Parent Name (First, Last)
Parent email #1
Parent email #2
Student email that will be used in the Google Classroom *Gmail is best but non-school email as school emails sometimes get blocked by the school using Google classroom outside of the school system.
Parent 1 Cell #
Parent 2 Cell #
Address
Emergency Contact if parent 1/parent 2 can not be reached (Name/Cell)
Payment (As our website is being completed, you may pay with Check/Cash, Venmo, ApplePay, or Invoiced "any credit card")

*Payment will reserve your spot on class roster.

$480 Cash/Check
*Please make checks out to TERRONES DRIVING ACADEMY and send to 682 X Ave Ames Iowa 50014

$490 Venmo/Apple *processing fees included

$495 If you would like to pay with a credit card I can invoice your email provided and you can pay directly from the email with any credit card
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