Complete Form to Enroll

Class Information

  • Weekdays 9AM to 4:45PM: 12/28, 12/29, 12/30/2025, and 12/31/2026 **NOTE: THESE DAYS ARE CLASS ONLY, IN-CAR DRIVING IS SCHEDULED AFTER THE 30 HOUR CLASS IS COMPLETED** Please note there is no class on New Years Day but do have class on New Years Eve.

Student Information

Legal First Name

(Jr, II, etc.)

Student's Email


Parent Information