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Driver's Eligibility Form Request

Driver's Eligibility Form Request

Driver's Eligibility Form Request
Fill out the information below to request a Driver's Eligibility Form. Please note, you will receive an email notification when your student's Drivers Eligibility Form is complete. A parent/guardian must come by the office to sign and pick up the form. Forms are valid for 30 days.

This form is not to sign-up for Driver's Education. To sign up for a class you have to visit

Please do not submit this form if you have not completed both the Driver's Education class, as well as Behind the Wheel Driving Instruction.

Student Last Name
Student First Name
Student Birthday (MM/DD/YYYY)
Current Address
Email (to send the notification to)
Your Name:
Your Email:
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To validate your submission, please type the answer to the question.

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