McIntosh Driving School Contract 2024
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number (Entering this number gives McIntosh Driving School Permission to text)
Please enter a valid phone number.
Student Name
*
First Name
Last Name
Student Date of Birth
-
Month
-
Day
Year
Date
Student Email
example@example.com
Student Phone Number (Entering this number gives McIntosh Driving School Permission to text)
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
High School You Attend
*
Permit Issued
*
-
Month
-
Day
Year
Date
Has your permit renewed?
*
Yes
No
Has the student had a minimum of 40 hours driving time with 10 of those hours at night?
*
Yes, my student has driven a minimum 40 hours
No, My student has not driven 40 hours yet.
Student Signature
*
Parent Signature
*
Permit Upload
*
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DRIVING SCHOOL
* CLASSROOM* BEHIND THE WHEEL*DMV ROAD TEST* $10.00 ONLINE REGISTRATION CONVENIENCE FEE
$
460.00
Fast Track
Fast Track puts you at the front of the line.
$
75.00
Credit Card
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