American Leadership Academy Driver's Education Application Please enable JavaScript in your browser to complete this form. Student ID Number *Enter your student ID number as it appears on ALA School Records Student's Name * First Last Enter your name as it appears on ALA school records, no nicknames or shortened names Enter Your Birthday *Month/ Date/ Year Learner Permit #Leave Blank if you have not obtained your Learner Permit yet Enter Student's School Email * Email Confirm Email Home Address * When did/are you planning to take the classroom portion of Drivers Education? * First Semester Second Semester Summer Who was/is/will be your classroom instructor? * Doug Vincent Kyle Purvis How many hours of driving have you completed your parent or guardian? *Utah requires 40 hours of parent driving training to get a Drivers License Parent 1 Name * First Last Parent 1 Email * Email Confirm Email Enter an email address that is checked regularly Contact Number for Parent 1 *Please include area code + phone number. ex. (801-555-5555) Parent 2 Name * First Last Parent 2 Email Email Confirm Email Enter an email address that is checked regularly Contact Number for Parent 2 *Please include area code + phone number. ex. (801-555-5555) Submit
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