Date E-Mail Address Sign-up for Fall 1 Fall 2
First Name Middle Last
SS# Date of Birth (month/day/year) Height Weightlbs
Hair Color Eye Color
Street Address Mailing Address
Town State Zipphone
My son/daughter has my permission to be enrolled in the Driver Education program at the York Driving School and, has read and understood the school rules. Click Here for York Schools Handbook
Parent or Guardian's Name Email Address
Address City State Zip
Phone
Does the driving student have any of the following medical conditions? Please select if yes. Please select if No.
Epilepsy/Seizures Diabetes Blackouts/Loss of Consciosness
Limb Amputation Paralysis Parkinson's Disease
Stroke/Shock Mental/Emotional Heart Trouble
Other Condition - Please Explain:
Please Note: If you have been subject to any of the above physical conditions, it may be necessary for you to provide additional information to the State in order to properly process your application. Please notify the instructor if the student has any special needs requirements.
RULES AND REGULATIONS OF YORK DRIVING SCHOOL LLC
1.NON-REFUNDABLE $175.00 DEPOSIT: DUE AT THE TIME OF REGISTRATION
2.TOTAL COST of course is $575.00 (which includes your deposit).
BALANCE OF COURSE FEE $400.00 is due at or before your first classroom session. (If there is a financial hardship, please call before the start of the first class.
At the time that the permit test is given, each student must pay $20.00 to cover the cost of the permit and the processing fee.
Your application will be processed after we receive your deposit. Please mail your check to York Driving School, 151 Old Post Road, York, Maine, 03909. If you would rather print this application and send it with your deposit <<click here>>
WE HAVE A NO TOLERANCE POLICY
We will not accept rude or disruptive or irresponsible behavior or any violation of the State of Maine Drug and Alcohol laws. Any student that violates these rules or displays this undesirable type of behavior will be immediately dismissed without a refund and not allowed to be back in class in the future. We take Driver Education very seriously and expect the students to do the same.
By submitting this application I understand the "No Tolerance Policy" and have filled the above out honestly and accurately.
I agree to the York Driving School policy as described, and agree to abide by all rules. I fully realize that any violation of this policy may lead to my permanent dismissal without any refund.
I understand the rules and regulations of the York Driving School