Bishop Timon High School Driver Education Permission/ Registration Form Spring 2022
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Email *
Last Name *
First Name (Full) *
Number/ Address *
City/Town *
Zip Code *
Parent Email Address *
Student Email Address *
Parent Phone Number *
Student Phone Number *
Date of Birth *
Permit 9 Digit ID Number ( please write as xxx-xxx-xxx) If you don't have a permit at this time , please fill in 000-000-000. *
Parent Signature: By typing your full name on the line below, you agree to give your son or daughter (whose information is listed above) permission to attend the Driver Education Program conducted at Bishop Timon High School during the Spring 2022 semester. The course will commence on February 10, 2022, and continue through May 26, 2022. *
Additional Information - Course Dates *
The Spring 2022 classroom session will be held once a week on Thursdays from February 10 to May 26 with three different time options: Option 1: 4:15 - 5:45 pm; Option 2: 6:00 - 7:30 pm; Option 3: 7:40 PM - 9:10 PM
Classroom Selection - Please select the one in-class time below to indicate your understanding that you must be able to attend the classroom session to enroll. Please note that the classroom instruction will be conducted virtually through Google Classroom and Google Meets. Instructions will be sent out via email at a later time from Devon Chase, the Driver Education Coordinator. *
Additional Information - Mailing Instructions *
Must be at least 16 years of age and have a Driver's Permit at the start of the session. *Please mail both the check and a clear photocopy of your permit to Bishop Timon High School , Attn: Driver Ed Program, 601 McKinley Parkway Buffalo NY 14220 **If you don not have your permit at this time.. be sure to mail copy to Bishop Timon as soon as possible. Your MV-285 Certificate of Completion ("Blue Card") will not be issued unless you submit the copy. No 5-Hour Certificates will be issued with this course (but may be offered separately).
Additional Information - Refund & Makeup Policy *
Please contact your classroom instructor directly regarding make-up sessions. *Refund Policy: Should the student withdraw or be dismissed after the first classroom session, refunds will not be issued. **Makeup Policy: For missed classroom sessions, homework will be provided for the student to cover the materials missed. You are allowed two (2) unexcused absences from the classroom session.
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