Driving School Appointments Driving School Appointments Form Your First Name*Your Middle NameYour Last Name*Your Email*Your Phone*FaxYour Address*Street AddressCityZIP CodeYour Age*Under 18AdultSeniorTraining for drivers under 18*DRIVER EDUCATION & BEHIND THE WHEELDRIVER EDUCATION ONLYBEHIND THE WHEEL ONLYDRIVE TESTPlease select all that applyWhat school do you attend?*How did you find DollarFRIENDSCHOOLYELLOW PAGESWEBSCHOOL PAPEROTHER(Please select all that apply)Please enter "other"*Training for adult drivers*DRIVER EDUCATION & BEHIND THE WHEELDRIVER EDUCATION ONLYBEHIND THE WHEEL ONLYDRIVE TESTPlease select all that applyHow did you find DollarFRIENDYELLOW PAGESWEBPAPEROTHER(Please select all that apply)Please enter "other"*Training for adult drivers*DRIVER EDUCATION & BEHIND THE WHEELDRIVER EDUCATION ONLYBEHIND THE WHEEL ONLYDRIVE TESTREVOKED LICENSEBRUSH UPPlease select all that applyHow did you find DollarFRIENDYELLOW PAGESWEBPAPEROTHER(Please select all that apply)Please enter "other"*Special Needs(Please select all that apply)NERVOUS, FEARFULYesLEARNING DISABILITIESYesDISABILITY TYPE?*HANDICAPYesHANDICAP TYPE?*LANGUAGEYesWHAT LANGUAGE?*OTHER SPECIAL NEEDSYesTYPE OF NEEDS?CommentsPhoneThis field is for validation purposes and should be left unchanged.