• Louisiana Department of Public Safety and Corrections

  • DRIVER EDUCATION REGISTRATION AND COURSE FORM

  • DRIVING SCHOOL INFORMATION

  • KEYS 4 SAFE DRIVING SCHOOL. LLC-1205

    1910 OAK PARK BLVD. LAKE CHALES, LA, 70601

    COURSE INFORMATION- check the course requested

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  • STUDENT INFORMATION

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  • CONTACT PHONE NUMBERS

  • STUDENT’S DRIVING EXPERIENCE

  • PARENTAL/GUARDIAN CONSENT- TO BE COMPLETED IF STUDENT IS A MINOR

  • 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.

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      DepositTo secure your spot for a class, you must pay the deposit to complete the process. If the payment is not made, the student will not be registered for an upcoming class.
      $55.00
        
      Total
      $0.00
    • Please click one of the PayPal options to complete payment and submit the form.

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