Summer Driver Education Registration
Class Location: Middle School Commons
Class Time: 7:05 - 8:50am, Monday - Friday
Cost: $275
Orientation Meeting: Wednesday, May 6 @ 3:50 in the Middle School Commons
Tentative first class day: 1st weekday following the last day of school
Driving: Some driving may start the end of May
Email address *
Student Last Name *
Your answer
Student First Name (not nickname) *
Your answer
Student Middle Initial *
Your answer
Birth date *
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Please indicate if eligible for free or reduced rates. In order to be eligible, student must attend Spencer Community Schools.
Student Contact Number *
Your answer
Parent Contact Number *
Your answer
Parent Email Address *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Spencer Community Schools. Report Abuse