After School Program Enrollment Form

Maneuverability Course Registration Form

2024-2025
H.A.R.T House is pleased to offer our 'New Driver Maneuverability' for young adults ages 18 years or older. In Ohio, all new drivers are required to pass their maneuverability course prior to hitting the road. Our Network launched a new initiative focused on expanding the mindset of Ohio's young adults with an interactive and instructive program that promotes impactful, positive student learning. Our goal is to support efforts that prepare young adults to participate in the maneuverability Test Prep Course work and successfully pass the driver exam with confidence.

Please complete and submit one form per student being enrolled in the New Driver Maneuverability Course.
How did you hear about us*

Cleveland RemembranceFacebookInstagramReferralOther
Student information*

First NameLast Name
Indicate Payment type*

Private PayDiversion Program (court appointed)Foster Service
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Phone Number*

Area CodePhone Number
Student Email*
Students Date of Birth*

MonthDayYear
Please ensure the proper format when entering date of birth, for example 01-01-2001.
Current Age Level (must be at least 18 years old to participate in program)*

18 - 25yrs26 - 30yrs31+
Gender*

MaleFemaleDecline to answer
Has the student taken the Drivers exam in the past?*

Yes, did not passNo, never attempted
Does the Driver have past experience behind the wheel?*

YesNo
Please Note:Pick-up and drop-off is optional for an additional fee, call for details.
Select desired date & time (session 1)

MonthDayYear
HourMinutesAM/PM Option
Select desired date & time (session 2)

MonthDayYear
HourMinutesAM/PM Option
Select desired date & time (session 3)

MonthDayYear
HourMinutesAM/PM Option
Please Note: Session 4 will be scheduled for 1 day prior to your scheduled drivers exam.
Does the student have any Medical Condition(s)?*

YesNo
If 'Yes' is answered to the above question please detail medical condition(s) below: N/A if no not applicable
Please list any medications that will be administered during program hours, including dosage, strength and time below: N/A if no not applicable
Please note any known allergies: N/A if no allergies*
Notes (specific indication)
***PLEASE NOTE: HART HOUSE IS NOT A DRIVERS EDUCATION SCHOOL. HART HOUSE IS NOT AFFILIATED WITH ANY OHIO BMV OR EXAM STATIONS.
- An Enrollment Form is required for all students participating in the New Driver Maneuverability Course.
- Students are required to schedule their (3)-One hour sessions prior to the start of the New Driver Maneuverability Course.
- Session (4) should be scheduled for the date of students exam day or the day prior to the exam.
- Cancellations must be done 24 hours in advance, otherwise the student does NOT reserve the right to reschedule.
- Students may NOT participate on a drop-in basis. If no Enrollment Form has been previously submitted, you will receive an email with the link to this form to complete and submit.
- An Enrollment Form is required for all students participating in this program.
- All students attending the New Driver Maneuverability Course is required to show proof of their Ohio Temporary Drivers License.
- All students attending the New Driver Maneuverability Course are required to follow all program rules and rules stated within the OH BMV instruction.
- Students with a fever or contagious illness may not participate in the program until well enough to do so.
- This program is available for students ages 18 years or older
- No Refunds, however, HART House offers a one time class exchange (where space is available)
I have read and understand the New Driver Maneuverability Course program policy and rules found above. If I fail to adhere to the terms of the program it will result in the removal from said program.*

AgreeDisagree
I have read and understand the Enrollment policy, failure to agree will result in denial of enrollment*

AgreeDisagree
I give H.A.R.T House permission to use pictures, recordings and video footage of student interacting and engaging in program activities.*

AgreeDisagree
Select Today's Date*

MonthDayYear
Please indicate the month day and year the enrollment form is complete. Please ensure the proper format when entering enrollment date.
Upload a copy of your state of Ohio issued Temporary Driver's Permit*

Browse Files

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*Please note that the cost includes applicable processing fees.

My Products*

New Driver Maneuverability Course$207.99

New Driver Maneuverability Course, is (4) one hour courses that guide you through the Ohio BMV laws and regulations . The maneuverability course is taken in 4 sessions, 1-hour per session, onsite with a HART House provided vehicle.

Quantity
Item subtotal:$0.00

Pick-up $25.00

Pick-up for all sessions + pick-up for drivers examination.

Drop-off$25.00

Drop-off for all sessions + drop-off after drivers examination.

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Total $0.00

Payment Details
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Maneuverability Course Registration Form