Teen Class Registration Form - Holiday Discount Online Enrollment Form * 4/15/24 Remaining Balance Student's First Name * Student's Last Name * Date of Birth * Email * Payment Options * Pay in full ($566.50) Pay deposit ($283.25) Home Phone Cell Phone Address * Address Line 2 City * State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code * Gender Male Female Do you have a permit or Washington ID? Yes (Please provide permit or Washington ID number below.) No (If you don’t have Washington ID you have to pre-apply at www.dol.wa.gov and get an ID number. This number must be given to us so that we can issue your electronic waiver 10-days prior to your first day of class.) What is your permit or Washington ID number? I have read and agree to the East Hill Driving School Policies. * Please print our policy and bring to 1st day of class. If you are human, leave this field blank.
