KEYS 4 SAFE DRIVING SCHOOL. LLC-1205
1910 OAK PARK BLVD. LAKE CHALES, LA, 70601
COURSE INFORMATION- check the course requested
I do hereby certify that I am the Legal Parent/Guardian of the minor applying and this is my authorization to the above named Driving School to administer the driver education course indicated above. I also declare by my signature below that the information I provided is complete and accurate.