Register - North East Driving

Registration

This is the mandatory 8 hour drug and alcohol safety class. You will receive the CS-1 certificate on Sunday after completing the course.

Student's Name *

Email *

Phone # *

Date of Birth *

Address *

Town *

Permit #

Permit Date

I hereby grant permission for my son/daughter to join the class.

You must be at least 16 years old to attend this course. The fee is $150.00 payable in CASH ONLY on the first day of classes.