Temps Application Request
Email address
Student First Name
Full Legal First Name
Your answer
Student Last Name
Full Legal Last Name
Your answer
What High School do you attend?
Your answer
What is your birth date?
Your answer
What is a good Cell Phone number to text you if there is a problem with your request?
Your answer
If you are a KC's Online Classroom Student, did you enroll and pay for our Behind The Wheel Course?
What is the address you want us to mail the form to?
Enter your FULL address. Example: 123 Maple St, Hartland, WI 53029
Your answer
What is the reason you need to get the Form
Where did you take Driver's Ed Classroom?
Where will you do your Behind The Wheel Training?
Please complete the captcha before submitting the form.
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