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Registration For Hoosier Driving
Students Name
*
First
MI
Last
Students DOB
*
Students School
*
Students Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Parents Name
*
First
Last
Parents Number
*
###
-
###
-
####
Parents Email
*
Which type of Class?
*
Online (30 hours of online class plus 6 hours of behind-the-wheel
In-person Class (30 hours of in-person plues 6 hours of behind-the-wheel)
DRIVE ONLY (6 hours of behind-the-wheel) Call to make Payment
Private Drives (call to make payment)
Preferred Class Date
*
Please select
Online
Drive Only (must call to make payment)
Private Drives (call to make payment)
In-Person Class starting January 5th-March 16th 2025 (Sundays, 12:30-3:30PM)
Payment
*
Cash/Check (call 574-936-2659)
Credit Card (go to website, under registration tab, click PAY NOW button)
Checkbox
Yes, I agree to receive text messages from Hoosier Driving LLC at the phone number of 574-936-2659. (Message frequency varies and may include (appointment updates, information about Hoosier Driving and the services we provide)
No, I do not want to receive text messages from Hoosier Driving LLC.
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