Auburn Sign Up Form

1
Location* This field is required.
Auburn
2
Student Legal Name* This field is required.
First Name
Last Name
3
Date of Birth* This field is required.
Month
Day
Year
4
Gender * This field is required.
Female
Male
Non-Binary
5
Primary Phone Number* This field is required.required to register online
Area Code
Phone Number
6
Secondary Phone Numberrequired to register online
Area Code
Phone Number
7
Primary Email Address* This field is required.
required to register online
8
Class Schedules for Auburn 2022* This field is required.
Sept 26th-Oct 17th Running Mon, Wed & Fri 3:00-6:00 pm, Zoom Blended Course, You will receive the dates for your class #1 & #10 for the in person portion. Classes #2-#9 are on zoom. Course Cost is $665
Oct 19th-Nov 9th Running Mon, Wed & Fri 3:00-6:00 pm, Zoom Blended Course, You will receive the dates for your class #1 & #10 for the in person portion. Classes #2-#9 are on zoom. Course Cost is $665
Nov 11th-Dec 5th Running Mon, Wed & Fri 3:00-6:00 pm, Zoom Blended Course, You will receive the dates for your class #1 & #10 for the in person portion. Classes #2-#9 are on zoom. Course Cost is $665
Dec 7th-Dec 30th Running Mon, Wed & Fri 3:00-6:00 pm, Zoom Blended Course, You will receive the dates for your class #1 & #10 for the in person portion. Classes #2-#9 are on zoom. Course Cost is $665
Jan 3rd-Jan 23th Running Mon, Wed & Fri 3:00-6:00 pm, Zoom Blended Course, You will receive the dates for your class #1 & #10 for the in person portion. Classes #2-#9 are on zoom. Course Cost is $665
Jan 25th-Feb 15th Running Mon, Wed & Fri 3:00-6:00 pm, Zoom Blended Course, You will receive the dates for your class #1 & #10 for the in person portion. Classes #2-#9 are on zoom. Course Cost is $665
There is a minimum class size requirement
9
The Driving School Policy* This field is required.Please click the link to read over The Driving School Policy
10
What is the cost of a no show fee for each hour missed?* This field is required.
$60
$50
$120
11
Do you need to provide a document that states your students legal name and DOB?* This field is required.
YESNO
12
Signature* This field is required.I have read and understood the policy
Clear
13
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