The Heart of Driving Driver Education, LLC 
From The Heart of Driving to the winding roads of rural Maine
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Class C Registration Form
Name *
Ex: Joe Smith
Date of Birth *
MM
/
DD
/
YYYY
Address *
Physical Address only: Street; Apt #; City; State; Zip  EX: 101 Main St; Milbridge, ME, 04658
Telephone # *
Please use this format: (207) 123 - 4567
Parent(s) Names *
Please share your parents names should we need to contact them. 
Email
Natural Hair Color *
Color of Eyes *
Height *
Format with feet and inches EX 5' 7" = 5 foot 7 inches
Weight *
In pounds EX: 200 lbs
Gender *
State of Maine currently requires only binary designations. There is a form at the state to alter to non- after licensing 
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