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Student Registration Form
Student Name
(Required)
First
Middle
Last
Student Address
(Required)
Street Address
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State
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ZIP Code
Student's Email Address
(Required)
Student Phone
(Required)
Student Date of Birth
(Required)
MM slash DD slash YYYY
Student's High School
(Required)
Davies High School
Fargo Davies High School
Fargo North High School
Fargo South High School
Moorhead Senior High
North Dakota State University
West Fargo Horace High School
West Fargo Sheyenne High School
Oak Grove High School
Park Christian High School
Shanley High School
Other (please type below)
Student's High School
Does the student have any medical conditions, physical limitations, or take any medications that might affect their ability to drive or participate in driving lessons?
Does the student wear contacts or glasses?
(Required)
Yes – the student wears contacts or glasses
No
Has your permit or license been revoked due to Vanessa's Law or violations?
(Required)
Yes
No
Did the DMV require you take further training due to test failure?
(Required)
Yes
No
Instructor's Permit Number (if you have one)
Is the student 18 or older?
(Required)
Yes
No
Parent/Guardian Name
First
Last
Parent Cell Phone Number
Parent Email Address
State Residency
(Required)
Minnesota
North Dakota
Minnesota Students
Minnesota students under the age of 18 must complete the 30 hours of classroom instruction and pass the Instructor's permit test before they begin Behind the Wheel lessons. It is illegal to practice driving without a Learner's Permit. Behind the Wheel lessons are two hours long. You should spread out your lessons during your learning period so that you can practice your driving skills between each lesson. If you need additional Behind the Wheel instruction beyond the six hours required by Minnesota law, more can be added at the $70 per hour rate.
What would you like to register for?
Six hours of Behind the Wheel instruction (required for people under age 18) - $380
Hourly Behind the Wheel instruction (for any age) - $140 for each two-hour session
North Dakota Students
You must pass the permit test before beginning Behind the Wheel lessons. It is illegal to practice driving without a Learner's Permit. Behind the Wheel lessons are two hours long. You should spread out your lessons during your learning period so that you can practice your driving skills between each lesson. If you need additional Behind the Wheel instruction beyond the six hours required by North Dakota law, more can be added at the $70 per hour rate.
What would you like to register for?
Waiver option: 6 hours of Behind the Wheel and proficiency test. Proof of 30 hours of classroom instruction must be provided from another provider before 2nd lesson.
6 hours of Behind the Wheel instruction, taking the road test at the DMV (required for people under age 18) - $380
Hourly Behind the Wheel instruction (for any age) - $140 for each two-hour session
Payment
To secure your spot in our Behind the Wheel program, you may pay the full amount now or a partial payment of $150 with the remainder due before the last two-hour session.
Which method of payment do you prefer? (Please contact heavyddriving@gmail.com to confirm availability before making your payment)
Venmo (Eric-Weaver-91 - please include the student's name in the payment details)
Check (please email heavyddriving@gmail.com to arrange)
Cash (please email heavyddriving@gmail.com to arrange exchange)
Cancellation Policy
If you must cancel a Behind the Wheel instruction session, you must give 48 hours notice by emailing heavyddriving@gmail.com. If you do not provide 48 hours notice, you will be charged a $50 fee.
Please type the student's initials here to indicate your understanding of the cancellation policy.
(Required)
Terms
Filling out this form does not guarantee that you will be scheduled. Availability is limited. We will contact you prior to taking payment to make sure appointments are available.
Student Signature (please type below)
(Required)
Today's date
(Required)
MM slash DD slash YYYY
Parent/Guardian Signature (please type below)
Today's date
MM slash DD slash YYYY
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701-541-0685
heavyddriving@gmail.com
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Our Team
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