© 2010 Ashland Driving School. All Rights Reserved.
REGISTRATION
*Student Legal Name (Last, First, MI) :
*Address :
Mailing Address (if different) :
*City :
*State :
*Zip :
*Home Phone :
*Student Cell Phone :
*Parent Cell Phone :
Permit No.(if applicable) :
*Parent/Guardian Name :
*Parent Email:
*Class Start Date:
STUDENT MUST BE AT LEAST 15 ON THE FIRST DAY OF CLASS. ONCE CLASS IS PAID IN FULL, A WAIVER WILL BE GIVEN AND THE PARENT/GUARDIAN MUST TAKE THE STUDENT TO DOL TO RECEIVE THEIR INSTRUCTION PERMIT. THE STUDENT MUST HAVE PERMIT WITHIN THE FIRST WEEK OF CLASS STARTING. SIGNING BELOW IS GIVING PERMISSION TO ATTEND CLASS AND SCHEDULE DRIVE LESSONS WITH A CERTIFIED INSTRUCTOR. DUE TO THE NATURE OF THE COURSE, NO REFUND WILL BE GIVEN AFTER THE FIRST CLASS AND COURSE MUST BE COMPLETED WITHIN 12 WEEKS, OR STUDENT WILL BE DROPPED.

Click which program your child will be attending:
*Date of Birth :
Tues, Wed, Thurs
3:30PM - 5:30PM
 
5 Week Program
7 Week Program