MS Driving Instruction Drivers Ed Registration Form
New London Drivers Education Class 2020/2021 School Year
KEEP SCROLLING DOWN FOR CLASS TIMES AND PRICING
Students First MIDDLE and Last Name: AS IT APPEARS ON THEIR BIRTH CERTIFICATE
Students Email Address . PLEASE USE A NON SCHOOL EMAIL IF POSSIBLE. SCHOOL EMAIL BLOCKS VIDEOS
Students Cell Phone if they have one
Students Date of Birth
Parent or Guardian's Name:
Parents Email Address
Parents / Guardian Phone:
I live in the New London School District, and have a referrall $325
New London School District NO REFERRAL $350
I was referred , and live OUTSIDE the New London School District $350
I live OUTSIDE the New London School District NO REFERRAL $375
Behind The Wheel ONLY New London School District $275
Behind The Wheel ONLY ( Out of the New London School District ) $300
I am OVER 18, and can Legally get my License. I don't need Drivers Ed but what you to help me get my temps
Classroom ONLY $100
Name of the Person who referred you:
I need to take the classroom portion online. self paced. YOU HAVE 90 DAYS TO FINISH ONCE YOU START
I will be attending the physical classroom but will do any missed classes online. CLASSES IN SESSION STARTING JUNE 15, 2020 BUT LIMITED TO 9 STUDENTS
I JUST NEED BEHIND THE WHEEL LESSONS
Classes are held at 775 Industrial Loop Rd... Ort Trucking Building GO STRAIGHT ON BECKERT RD to the Industrial Loop
We are in the Ort Trucking Building.
With Covid Regulations in Place, I will be evaluating monthly if I am able to have Physical Class. You may continue to register for class online or physical class.
I WANT TO TAKE CLASS ONLINE.
March 8 - March 26, 2021 Monday - Friday ZOOM 6:30 PM
April 12 - April 30, 2021 Monday - Friday 3:30 PM - 5:30 PM at 775 Industrial Loop Rd... Ort Trucking Building
May 3 - May 21, 2021 Monday - Friday 3:30 PM - 5:30 PM at 775 Industrial Loop Rd... Ort Trucking Building
June 14 - July 2, 2021 Monday - Friday 1:00 PM - 3:00 PM at 775 Industrial Loop Rd... Ort Trucking Building
July 19- August 6, 2021 Monday - Friday 1:00 PM - 3:00 PM at 775 Industrial Loop Rd... Ort Trucking Building
I need a ride from school to Drivers Ed ( Sept. - May ) NEW LONDON STUDENTS
Anything you think Ms. Becky needs to know
YOU WILL GET AN EMAIL CONFIRMATION WHEN YOU SUBMIT THIS FORM. If you DO NOT get a confirmation, I DID NOT get your registration.
A copy of your responses will be emailed to the address you provided.
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