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First Name (required)

Last Name (required)

Date Of Birth (required)

Address

City: (required)

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Your Age:
Teen (Below 18)    Adult (Above 18)

Gender:
Male   Female

Closest Public High School:

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Phone:

Cell Phone: (required)

What class are you registering for?:

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NOTE: Please Download Apple Driving School Contract review and sign the contract and bring it with you on your first class to give to the instructor.