Registration Form Aug 1st- Sept 1st, 2024 Class/Site (Nevada/Colo-Nesco)
Thank you for choosing Terrones Driving Academy! Please fill out this form to register your student for our Aug 1st-Sept 1st '2024 class. Nevada and Colo will be our host site for this class.  Information for the online portion and scheduling for the driving portion of the course will be sent out 3-5 days before the start date.
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Student Name (First, Middle Int, Last)
Instructional Permit #
Instruction Permit expiration date (month,day,year)
School Attending '2023
Grade Level
Date of Birth
MM
/
DD
/
YYYY
Any disabilities physical or learning that teachers should be aware of?
Parent Name (First, Last)
Parent email #1
Parent email #2
Parent 1 Cell #
Parent 2 Cell #
Address
Emergency Contact if parent 1/parent 2 can not be reached (Name/Cell)
Payment (As our website is being completed, you may pay with Check/Cash, Venmo, ApplePay, or Invoiced "any credit card")

*Payment will reserve your spot on class roster.

$390 Cash/Check
*Please make checks out to TERRONES DRIVING ACADEMY and send to 682 X Ave Ames Iowa 50014

$400 Venmo/Apple *processing fees included

$400 If you would like to pay with a credit card I can invoice your email provided and you can pay directly from the email with any credit card
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