Owen Class Registration (THIS IS NOT AN ONLINE CLASS)
Registration for Owen Drivers Ed
CLASS DATES: February 4, 5, 6, 11, 13, 14, 18, 19, 20, 21 Hours: 3:15 - 6:15
Early release on 19th and class will be from 1:15-4:15
Attendance everyday is mandatory and leaving early is not permitted
Students must be at least 14 1/2 on the first day of class (DOB on or before 8/4/05)
Materials: a folder with 35 sheets of paper or a one-subject composition book, a highlighter and something to write with.
Seats will be granted to the first 40 that complete payment. Payment must be made using PayPal/Credit/Debit card. Class fee is non-refundable and non-transferable; please make sure you can attend all classes in their entirety.
*Note confirmations and payment emails are sent to parent email. Please make sure you have entered it correctly.
Student First Name *
Your answer
Student Last Name *
Your answer
Student Email Address *
Your answer
Address 1 *
Your answer
Address 2
Your answer
City *
Your answer
State *
Zip *
Your answer
Phone *
Your answer
Please enter students birth date (mm/dd/yyyy) Must be at least 14 1/2 on first day *
MM
/
DD
/
YYYY
Grade level *
School Attending *
Your answer
Other (Homeschool)
Your answer
County *
PARENT INFORMATION
Confirmation email will be sent to parent email, please make sure it is correct.
Parent Name *
Your answer
Parent Email *
Your answer
Parent Phone *
Your answer
I have read and understand all information provided regarding this class, payments, and requirements. *
I understand that payments made are NOT refundable or transferable. *
Next
Never submit passwords through Google Forms.
This form was created inside of Mountain Professionals. Report Abuse