Drive Pro, Inc.
Driver Education School
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Next Class Starting May 2nd
FULL NAME OF STUDENT
School Attending_________________________________Home School____
High School____________________Middle School___________________
Date of Birth___________________________
Social Security Number______________________________________________
PARENT OR GUARDIAN INFORMATION
Parent or Guardian Signature_____________________________________Date______________________
Does the student have any disabilities? If so, please explain_____________
Does the student have any special needs or modifications that are part of his or her educational program?________________________________________________________________________________________
Please mail the registration fee, this form, and a photocopy of your driving permit to: Drive Pro, Inc. Mikel W. Ghere, 4791 Roseman Drive, Clear Lake, Iowa 50428. Please call 641-420-5822 or 641-357-8756 if you have any questions.
Cost is $300. Payment can be made in cash, credit card, or check payable to Drive Pro, Inc. The cost can be made in two installments. 1st payment is due with registration form; 2nd payment is due two weeks after starting date. Certificate will be issued 30 days after personal check if received.
Payment for the class tuition will not be dependent on the student passing the class. Missed driving classes will cost $25 if not cancelled the evening before. Each student will be presented a white certification slip at the end of the course. If this slip is lost, it will cost $25 to have a new one issued. There will be no refund after the first class has started.
Please call 641-420-5822 or 641-357-8756 if you have any questions. We are looking forward to serving you.