Driver Education Enrollment Form
This form will provide the necessary information for enrollment in USD 243 Lebo-Waverly's summer Driver Education Classes. Student and Parent information is used ONLY for class or driving contact. Payment for class can be made the 1st day of class. If payment arrangements need to be different, please contact Doug Piper. (785.229.5732 or
Which school will you be attending Driver Education Class?
Lebo High School
Waverly High School
Student's First Name, Middle Initial, Last Name (Example: John Q Smith)
Date of Birth (Example: 10/12/2006)
Home Address (Example: 12534 West 4th Street, Anywhere, KS 67891)
Parent or Guardian First and Last Name (Example: Jimmy Good)
Parent or Guardian Phone Number (Example: 785-879-5642)
Student's Cell Phone Number (Example: 620-360-7319)
Send me a copy of my responses.
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