Driver Education Spring 2023

How did you hear about our Driver Education Program? (Check any that apply)*

First Name*

Middle Initial

Last Name*

Gender*

MF

Street Address*

Street Address 2

City*

State*

Zip*

Date of Birth*

Date

Home Phone

Please enter a valid phone number.

Cell Phone Number*

Please enter a valid phone number.

Email

example@example.com

Permit / License Number*

Expiration Date*

Date

Please upload a copy of the front side of your permit.*

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Spring 2023 Session Calander

Tuesday Classes Meet: Jan 31. Feb 7, 14, 28. Mar 7,14,21,28. Apr 18, 25. May 2, 9, 16, 23, 30. Jun 6.

Thursday Classes Meet: Feb 2, 9, 16. Mar 2 ,9, 16, 23, 30. Apr 20, 27. May 4, 11, 18, 25. Jun 1, 8.

Saturday Classes Meet: Feb 4, 11, 18. Mar 4, 11, 18, 25. Apr 1, 15, 22, 29. May 6, 13, 20. Jun 3, 10.

This is my first choice:*

This is my second choice:*

Are you presently enrolled in a special education program?

( If yes, please explain and bring to the attention of both your lecture and driving instructors.)

If possible, please put me in the same car as:

Attendance Policy: If you sign up for this program, you must complete 24 hours of in-car driving and 24 hours of classroom instruction. No exceptions! We only allow up to two absences for lecture classes without penalty, however ALL missed classes must be made up. If you exceed the two absences allowed, you will be charged a fee of $25.00 to make the class up. Please note that if all time is not completed in both road and lecture, you will not receive a completion certificate (MV-285). Please DO NOT call the school if a make-up class is needed. It is the student's responsibility to schedule your makeup class with both your lecture and driving instructor.

Withdrawal: No refunds will be issued. If there is a problem, we are able to carry over your registration to a later session only if our office is notified before the date of your first scheduled class. There will be an additional $200.00 charge for this request. No exceptions will be made.

Classroom Behavior: All students are expected to behave at all times in their lecture classroom and in the car. This means that all students must not use profanity or act out in any way that can be considered disrespectful to their teachers or peers. Any student who is found to be under the influence of illegal drugs or alcohol during class will be immediately expelled. Our instructors are all NYS certified. They all work very hard to teach students the required NYS material and are always respectful to all students. Therefore, they deserve to be treated with the utmost respect in return. Failure to adhere to any of these rules will result in immediate expulsion from this Driver Education Program without a refund.

Confirmation of your application will be sent out via email within a week of registration. A second email containing car assignment will be sent out no later than one week before classes begin. Please do not call for confirmation unless you did not receive either confirmation.

Class Session

Amount Paid

Parent Full Name*

Parent Email*

example@example.com

Parent Cell Phone*

Please enter a valid phone number.

*I have read all the information on the website and on this application and do hereby agree to all conditions and rules listed. I have emailed a copy of my child's permit to: driver.education@osnas.org. I realize that I will be charged $25.00 for any and all classes missed (with the exception of the first two missed classes) and understand that all missed classes must be made up by the very last day of the session my child has registered for. I also understand that there will be NO refunds issued after my application is accepted.

I agree to the terms and conditions.

Session cost is $600*

Spring 2023$600 payment includes in class Lecture and In-Car Driving.

$600.00

Total

$0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Driver Education Spring 2023

Spring 2023 Session Calander

Our Savior Driver Education Program Parental Consent