*ONLINE CLASS NOW!* Mid-Prairie – OCT. $385

Class Details

Wednesday, October 27 - Sunday, November 14

Class Times

*ONLINE CLASS NOW!* (2 Weeks!) Registration now open!
Register and begin our self-paced online coursework. Drive sessions will be after school, weekends & evenings. Online class portion us due Saturday, Nov. 6th at 1pm. All driving completed by Nov. 14th. Email is our primary source of communication. You should receive more detailed info about this class by Oct. 20th.

Class Location

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Class Registration Form

Spaces

Student First Name *

Student Last Name *

Student Middle Name

Student Preferred Name

Student Date of Birth (MM/DD/YYYY) *

Student Street Address *

City/Town *

State *

Zip Code *

Student DL No./Permit # (Not required)

Student Cell Number

Name of School *

Primary Email Address *

Parent Cell Number *

Parent First and Last Name *

Parent Email Address *

Work or Home Number

Primary Doctor *

Primary Doctor Phone Number

Preferred Hospital

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