JCHS-DEC-1 Application
This form is used to request your DEC-1 paperwork to begin Behind the Wheel. It is legally required to be submitted BEFORE you start behind-the-wheel instruction.

Just a reminder you cannot get your TDL-180 until you have completed driver education classroom, had your permit for 9 months, take BTW, pass the road test, and completed your 45 hour log.

Once this is completed please allow 24-48 hours for your card to be created.

First Name (No nicknames) *
Your answer
Last Name (as it appears on your permit) *
Your answer
I want to take BTW at John Champe High School *
Email Address *
Your answer
Grade (if summer time - grade completed) *
Driver Education Teacher *
Have you attended Partners in Teen Safe Driving? *
Where and when did you attend? *
Your answer
Birthdate *
Your answer
Permit # (top right corner - starts with a letter) *
Your answer
You will be emailed once it has been completed. I understand that I will pick up my DEC-1 card in the counseling office when it has been completed. *
Your answer
By entering your full legal name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *
Your answer
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