Driver Ed Registration

Lewis County Driving School
1009 Kresky Ave.
Centralia, WA 98531
360-330-0344 (Voice)
360-330-5419 (fax)

Please fill out this form to register for Driver's Ed at Lewis County Driving School. Payment can be made using Cash, Check or Credit Card in person or over the phone. Thank you!

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    Student must be at least 15 on first day of class. If a student does not have a permit upon enrollment and is paid in full, a waiver will be issued no more than 10 days before the first class session. The student must have a permit at least 6 months, complete a driver's education course and be at least 16 years old to obtain an intermediate driver's license.
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    ====*** OFFICE USE BELOW WHEN PRINTED ***====

    Parent Signature: _________________________ Print Name: _____________________________ Date: __________________________________