Clone of West Caldwell October 5-October 19

Early College/CASA OCT 20-NOV 02, 2026 Registration Form

Fill out the form carefully for registration. Your DOB must be no later than APRIL 20 2012 to enroll in this course. (DO NOT ENROLL IN THIS COURSE IF YOUR DOB IS AFTER APRIL 20TH, 2012, YOU WILL NOT BE ADMITTED TO CLASS!) This class is held after school until 5:30pm each day Monday-Friday. Please bring paper, and pencil each day. Once you complete this form, YOU ARE AUTOMATICALLY ENROLLED! PLEASE WRITE THESE DATES DOWN and SHOW UP!
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Parent/Guardian E-mail
example@example.com
Parent/Guardian Mobile Number
Format: (000) 000-0000.
You MUST Upload proof of payment (receipt from Caldwell County Schools showing you've paid for driver education) You will NOT be able to submit your registration until your receipt has been uploaded. You may upload a screenshot of your receipt if you paid online, or you can take a photo of your receipt and upload here:

Submit proof of payment. ALL Payments must be made online through Caldwell County Schools or in person at the high school. THIS RECEIPT WILL BE VERIFIED THROUGH CALDWELL COUNTY SCHOOLS AND YOUR CHILD WILL NOT BE ADMITTED TO CLASS IF THIS RECEIPT IS FRAUDULENT.
Cancelof
Should be Empty:

Early College/CASA OCT 20-NOV 02, 2026 Registration Form