Enter content here Goffstown High School / Mr. Ross' Driving School
Cell: (603) 661-3547
BEFORE SENDING IN THIS ENROLLMENT APPICATION
The following
5 items MUST be completed.1) To be allowed to take Driver Education, your son/daughter
must have passed two High School classes the previous quarter or Guidance Counselor Written Approval
2) Must be NO Younger than 15 and 9 months by the first day of course (State law).
3) VISION: ______________N
______________F Uses glasses/contacts
Signature of School Nurse _____________________________________
4) ____ Birth Certificate
enclosed (no originals please, copy only)
5)
____ Check enclosed for $600. made out
to: Mr. Ross’ Driving School. (Mail check, forms, birth certificate, to Mr. Ross’ Driving School,
12 Mercury Dr. Londonderry, NH 03053)
PLEASE
PRINT FULL LEGAL NAME
Name______________________________________________________________________
(First, Middle, Last)
Address:____________________________________________________________________
(Street, City, State, Zip)
Student Home Phone: __________________ Date of Birth: _____________________
Parent Name(s): ____________________________________________
Work # ____________
Mailing Address (if different): ____________________________________________________
FOLLOWING MUST BE FULLY COMPLETED
Free Periods/Study Halls/Lunch-Study:
_______________________________________
(please include ALL free periods, not just lunch periods)
DRIVING WILL NOT NECESSARILY
BE DONE ON THE SAME DAY AS CLASS. CIRCLE EACH DAY YOU WILL BE AVAILABLE.
It is HIGHLY RECOMMENDED that you have a free period besides
lunch
After School Driving (Circle): M T
W Th F
Saturday Driving: Yes___ No___
IMPORTANT: Applications are accepted on a first-come,
first-serve basis and driving time availability. Student will be registered only upon receipt of completed forms, copy
of birth certificate and check.
