JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Enrollment Agreement - J&B Driving School
MUST be completed by Parent or Legal Guardian.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What is the Student's Name, Last, First and Middle Initial
*
Last Name, First name, Middle Initial (ex. Jones, Fred, G)
Your answer
What is Student's birth date?
*
ex. 12/23/00
MM
/
DD
/
YYYY
What is Student's STREET ADDRESS?
*
ex. 123 Maple Ave
Your answer
What CITY does student live in?
*
Your answer
What is student's ZIP CODE?
*
Your answer
What high school does student attend?
*
Your answer
Where did you complete your Online Classroom?
*
If you have not started or are in the process of completing Online Classroom, you must complete the Online Classroom first, then return here and enroll in our Behind the Wheel program.
KC's Driving School Online Classroom
Other
You received an email from KC's Driving School with your Online Classroom Course Completion info. Please copy and paste the info here.
*
If you have not received the Course Completion email, contact KC's Driving School @
kcsdrivingschool@gmail.com
. The email will look like the example below:
Your answer
Which Course Are You Requesting?
*
Behind The Wheel Only $425 (Student's that took KC's Online Class Only)
Behind The Wheel Only $435 (Students who took Online Classroom other than KC's Driving School)
Where will student do Behind The Wheel?
*
Be advised, the fees charged at our various schools and partner schools varies. If doing an Online Classroom you will enroll in a Behind the Wheel course with your school of choice after student completes all 15 Online Sessions.
Choose
Arrowhead High School
Oconomowoc High School
Lake Country Lutheran
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report