Driver's Education Registration - Lee County High School

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Email *

** There is a minimum 6-10 month wait to complete the driving portion once the classroom portion has been completed. This class will be capped at 50 and this sign up will be used to fill future classes as well. Students should monitor email for acceptance to this class or future ones.

STUDENT SCHOOL EMAIL *

Last Name *

First Name *

Middle Name

Student ID Number (NC Public School lunch number) ***IF you attend a private school or homeschool DO NOT list number (Type N/A)**** *

Date of Birth *

YYYY

Grade Level *

Street Address *

City *

Zip Code *

Primary Phone Number *

(XXX) XXX-XXXX

Alternate Phone Number *

(XXX) XXX-XXXX

PARENT EMAIL *

I understand that my student will be required to view video graphic content regarding driving related accidental injuries and fatalities. (If you have questions or concerns please contact Mrs. Robotham.) *

I agree to allow my student to view graphic content relevant to the driver's education curriculum

I do not agree. My student should not view this content.

Do you receive any of the following services? *

IEP

504

LEP

None

Other:

Current School *

If you are from an NCDPI approved homeschool, what is the homeschool number?

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