Stella Maris Driver Education Registration
Fill out the information below. You can pay by check now, or you will be emailed a link for payment closer to the start of class.
Which Driver Ed Session are you interested in?
*
October 2024
Student Name
*
First Name
Middle Name
Last Name
Student's Phone Number
*
Email
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
/
Month
/
Day
Year
Date
Student's school
*
Parent/Guardian Name:
*
First Name
Last Name
Parent/Guardian Phone:
*
Parent/Guardian Email
*
example@example.com
2nd Parent/Guardian Name:
First Name
Last Name
2nd Parent/Guardian Phone:
2nd Parent/Guardian Email:
example@example.com
Will you be paying by check or online payment link?
Check (see address to mail to in confirmation email, pay full amount up front by check and save $10.00)
Online (watch for a payment link closer to the start of the class)
How would you like to pay for driver education?
Driver Ed Classroom portion ($120)
Driver Ed Classroom + Behind the Wheel Deposit ($170)
Driver Ed Classroom + Full Behind the Wheel Payment ($440)
Submit
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