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Registration Form: Driver's Education Course
*If you are registering for classes during the school day at PVHS or NEHS you must be entering 10th grade and enrolled at that school. On the Classroom Date/Time section please enter "Day time classes" into this section.
Indicates required field
Date of Birth
Learner's Permit Number
Classroom Date/Time*See Schedule
Enter the date,time, and location of classroom you wish to sign up for.
Havre De Grace
Perryville High School
Rising Sun High School
North East High School
Please list aby disabilities, health issues or special needs you may have or that the school should be aware of:
Emergency Contact Name & Relationship to you
Emergency Contact Phone Number
Parent/Mentor Must Attend Orientation (first class)
A parent or mentor will be attending the first class session with you. Please confirm.
Enter Student Initials
Student Must Enter Initials Here to apply.
Parent/Guardian Initials (if student under 18)
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