Behind the Wheel Sign up

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Behind the Wheel Sign up

* Indicates required question

Student Name *

Your answer

Grade *

9

10

11

12

Other:

Student Phone Number *

Please include area code.

Your answer

Parent/Guardian Name(s) *

Your answer

Parent/Guardian Phone Number *

Please include area code

Your answer

Enter the date that student will be age 15 *

MM

/

DD

/

YYYY

Has the student obtained their permit

Yes

No

Clear selection

Behind the wheel fee is $240, *

The fee is payable by cash, check or schoolpay.

I have paid the fee in the school office

I need to pay the fee

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