Behind The Wheel Registration
Student Name
*
First Name
Last Name
Student Date of Birth
*
-
Month
-
Day
Year
Date
Student Email
*
example@example.com
Student Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Where does student attend high school?
*
Does Student Have A Valid Ohio Temporary Permit
*
YES
NO
Other
Temporary Permit # (Number will start will 2 letters followed by 6 numbers)
*
Permit Issue Date
*
Permit Expiration Date
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name
*
First Name
Last Name
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Email
*
example@example.com
How much driving experience has the student had? We strongly suggest students have at least 30 hours before Behind The Wheel Lessons. (Reminder 50 hours is required legally before receiving Drivers License.)
*
0-10 Hours
11-20 Hours
21-30 Hours
31-40 Hours
41-50 Hours
50+ Hours
Please tell us who referred you, or how you heard about The Driving Authority.
Has the student completed the required 24 Hours of classroom time, online or in-person class? Online class certificate is required to register.
*
YES
NO
Please upload your student's online class certificate of online completed classes, an online class certificate is required for registration. Please do not upload a picture of proof that classes completed. Only actual certificates will be accepted.
*
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If your student attends Southern Hills Career Technical Center and has a payment voucher please upload a PDF or image of the voucher here.
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Behind The Wheel Driving Lessons
State of Ohio Required 8 Hours of Behind The Wheel Training
$560.00
$
560.00
Behind The Wheel Driving Lessons (SOUTHERN HILLS CARRER CENTER STUDENTS ONLY)
State of Ohio Required 8 Hours of Behind The Wheel Training
$160.00
$
160.00
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Debit or Credit Card
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Last Name
Credit Card Number
Security Code
Expiration Month
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Expiration Month
Expiration Year
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