Krupinski Driving School
 Thank you for your patience as I get drivers scheduled. ONLY fill out if Your or your CHILD has a VALID PA Permit!

DUE TO HIGH DEMAND, I AM CURRENTLY ONLY TRAINING STUDENTS IN THE DOVER, SPRING GROVE, AND HANOVER SCHOOL DISTRICTS.

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Email *
Parent/Guardian Name *
Parent/ Guardian Cell Phone Number (Use dashes please) *
Student Name *
Student Cell Phone Number  (Use dashes please) *
Student goes to which School District? *
What is the Student's Permit number (Must have PA Permit in order to sign up for driving lessons!!)?
What is the "Test Eligibility Date" on Student's PA Permit? (Located in front center of permit) *
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How many hours out of the required 65 hours of driving practice has the student completed? *
Has the student completed the required 30 hour classroom/Virtual Drive instruction? (for more information on the Virtual Drive visit www.krupinskidriving.com) *
I schedule instruction times via text. If you prefer a phone call, please indicate below. *
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