Student Registration and Agreement
Complete this form to enroll in Online Classroom or Behind the Wheel.
MUST be completed by Parent or Legal Guardian.
What is the Student's: Lastname, Firstname and Middle Initial
Which Course Are You Requesting?
NOTE: Students enrolling in Online Courses will have 90 days to complete the course.
30 Hour Online Course $95
Behind The Wheel Only (Student completed KC's Online Classroom)
Behind The Wheel Only (Student completed another driving School's Classroom) $350
Online 10 Hour Refresher Course (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