Teen Application | The Drivers License School

first name *

middle initial *

last name *

dob *

last 4 digits of social security number *

address *

student cell phone number *

parent cell phone number *

parents email *

emergency contact name and cell phone number *

By signing this you understand that your teen is required to complete 24hrs of classroom If student misses a day its 20dollars to make up each day missed. Make up days will be at the end of class. *

male or female *

Signature of Parent/Guardian (Younger than 18)* *

start date of classroom only classes *

All Cancellation/supply fees will apply 150dollars Please Sign that you are aware of this policyy *

GRADING/PROGRESS Progress standards must meet the requirements of the current rules adopted by the Texas Department of Licensing & Regulation (TDLR). Mastery is a prerequisite to awarding a grade of 70 or above. Evidence of mastery shall be determined by *

*