Student Registration and Agreement
A parent or legal guardian must complete this form to enroll in Online Classroom or Behind the Wheel.
What is the Student's: Lastname, Firstname and Middle Initial
ex Smith, John R
Which Course Are You Requesting?
30 Hour Online Course $95
Behind The Wheel Only $300 (Student completing KC's Online Classroom)
Behind the Wheel Only $350 (Did not complete KC's Online Classroom)
Online 10 Hour Refresher $75Course (My Class Expired) $75
Page 1 of 17
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service