Register Attention: Enroll Now For Spring Priest River Class Attention: Please call 208-755-0438 for availability of online openings in Sandpoint.

Class Location *

Schedule *

First Name *

Middle Name

Last Name *

Parent/Guardian Name *

Birthday *

Day *

Year *

Age *

Gender

School *

Home Address *

City *

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Zip *

Telephone *

Alt Phone

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Accomodations

Health Concerns/Allergies

Parent Guardian Authorization *

I understand the traffic safety education course consists of 30 clock-hours of classroom instruction, 6 hours of behind-the-wheel instruction and 6 hours of in-car observation. I also understand that instruction is provided by a properly certified instructor licensed by the Idaho Department of Education and the Idaho Bureau of Occupational Licenses, and the behind-the-wheel training takes place in a dual-control vehicle that is adequately insured. I accept the fact that the Buckle-UP Driving School, LLC will not be responsible for any driving the student may do outside the Driver Education program. In addition I acknowledge that portions of the student participation in this traffic safety education course may be videotaped for feedback and grading as well as for use in future training courses.
I have read the Student/Parent or Guardian Information Packet for Driver Education and hereby give approval for the above student to participate in the course.
By checking this box you are registering the above student for Driver's Education with Buckle-Up Driving School and are stating the above information is accurate to the best of your knowlegde. Any false statements or registration by anyone other than the Parent/Guardian can and will be held accountable by the laws within your State. The registration fee of $335 for class in Priest River will need to be paid in full by the end of the class.