2019 Driver's Education Registration Form
Please complete the information below if you want to register for an upcoming Driver's Education class. There will be 3 different sessions offered, including the first class at the Rushford-Peterson High School in May and June, the second will be in Spring Grove in June, and the last session will be in Houston in October and November. Students must be at least 14 years old to take the class. The cost for the program is $190 for the classroom portion and $190 for the behind-the-wheel portion, but the only the classroom fee is required to start the class. In addition to the classes being offered in Rushford, Spring Grove, and Houston this year, please note that we will be offering additional classroom opportunities in Mabel (Feb-March 2020) as well.

Here are the dates and times for the classes being held in Rushford, Spring Grove, and Houston this year:

2019 RUSHFORD CLASS DATES: 2019 SPRING GROVE CLASS DATES:
Parent/Student Class Parent/Student Class
May 15 - 6:30-8:00 pm May 28 – 7:00-8:30 PM

Student Classes: Student Classes:
May 18 – 8:00-11:00 am June 1 - 8:00-11:00 am
May 19 – Noon-3:00 pm June 3 - 3:30-6:30 pm
May 22 - 4:00-7:00 pm June 4 - 3:30-6:30 pm
May 28 - 4:00-7:00 pm June 5 - 3:30-6:30 pm
May 30 - 4:00-7:00 pm June 15 – 8:00-11:00 am
May 31- 4:00-7:00 pm June 19 - 11:00-2:00 pm
June 1 - 8:00-11:00 am June 20 - 11:00-2:00 pm
June 2 - Noon-3:00 pm June 21 - 11:00-2:00 pm
June 3 - Noon-3:00 pm June 24 - 11:00-2:00 pm
June 4 – Noon-3:00 pm June 25 - 11:00-2:00 pm
June 5 – Noon-3:00 pm (Make-up Class) June 26 - 11:00-2:00 pm (Make-up Class)




2019 HOUSTON CLASS DATES:
Parent/Student Class
Oct 9 - 6:30-8:00 pm

Student Classes:
Oct 19 – 8:00-11:00 am
Oct 20 – Noon-3:00 pm
Oct 23 - 4:00-7:00 pm
Oct 26 - 8:00-11:00 am
Oct 27 - Noon-3:00 pm
Oct 29- 4:00-7:00 pm
Oct 30 - 4:00-7:00 pm
Nov 2 - 8:00-11:00 am
Nov 3 - Noon-3:00 pm
Nov 4 – 4:00-7:00 pm
Nov 6 – 4:00-7:00 pm (Make-up Class)


*Students are required to attend 30 hours of classroom instruction.


Parents and students are highly encouraged to attend one of the Parent/Student Classes, and they will be offered on May 15th in Rushford, May 28th in Spring Grove, and Oct 9 in Houston. Please complete the information below to register for the Driver's Education course, and payments can be brought to the Parent/Student Class or the first Student Class. You will receive a follow-up email to confirm their registration and to give you additional information regarding the upcoming classes.
Which Class are you wanting to register for? *
Student's First Name *
Your answer
Student's Middle Name *
Your answer
Student's Last Name *
Your answer
Birthdate? *
MM
/
DD
/
YYYY
School *
Grade in school for 2018-2019 school year *
Home Phone #
Your answer
Student's Cell Phone #
Your answer
Student's Email Address *
Your answer
Parent Name(s) *
Your answer
Parent Cell Phone #(s)
Your answer
Parent Email Address(es) *
Your answer
Is the student planning to get a Farmer's Permit before turning 16? *
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