Creating Quality Drivers
Class Type----Segment 1Segment 2
Class Selection----Brown City - May 5, 2025Brown City - August 4, 2025Brown City - November 3, 2025Capac - Jan 6, 2025Capac - April 7, 2025Capac - October 6, 2025Lapeer - June 9, 2025Lapeer - Sept 8, 2025Lapeer - December 1, 2025Peck - July 7, 2025
First Name
Middle Name
Last Name
Segment One Student MUST be minimum of 14 years, 8 months old at first class meeting date. Students Date of Birth
Students Address
City
State
Zip
Parent / Guardian Name
Parent / Guardian Phone with dashes
Email Address
I understand that this is just a "Pre-Registration" and my seat is not guaranteed until I have received confirmation from Patriot Driving School LLC. Scheduled Class Locations, Dates, and/or Times may adjust due to building availability, time conflicts, unforeseen events, etc.