Skating School
DRIVERS EDUCATION USM welcomes Just Drive! June 15 – July 6 (closed 7/3) A completed homework assignment can substitute for the last class on 7/6. See instructor.
12:30-2:30 p.m. 30-hours of state-mandated classroom instruction* *Participants schedule the additional 12 hours (included in price) behind-the-wheel / observation requirement with the instructor. Students may meet their Just Drive vehicle at University School or Whitefish Bay High School.
$385(by 5/14); $395 (after 5/14) Fee includes 30 hours classroom instruction and 12 hours of vehicle instruction.
For ages 14½ and up:
Classroom instruction (30 hours)
(Behind-the-Wheel is scheduled when participants reach age 15½.)
For ages 15½ and up: Behind-the-Wheel (6 hours) In-vehicle Observation (6 hours) Some notes about Just Drive: USM is pleased to begin a relationship with Just Drive for our summer drivers ed. program. Just Drive comes highly recommended for the quality of its program, instructors, and vehicles. Just Drive maintains a staff of state certified instructors to accommodate students. If students must wait to take the in-vehicle portion of the program, they will find that Just Drive will work with them to arrange a convenient schedule. Mail registration and fee to: USM – Summer Drivers Ed. 2100 W. Fairy Chasm Road Milwaukee, WI. 53217 Questions? Please contact the summer programs office, 414.540.3351
DRIVERS ED. 2015 (#1010) $385 (by 5/14) or $395 (after 5/14)
Name: _______________________________ Grade (in fall ’15): ________ Birthdate: _____________ Address: ______________________________ _________________________ ________________ (number, street name)
(city)
Phone:_________________ e-mail:_________________
(zip code)
(Please circle) Gender: M F
USM Student: Yes No
~ Please complete registration on next page. ~ ____________
_______________
______________
_______________
_______________
ACTIVITIES PARTICIPATION AND EMERGENCY MEDICAL PERMISSION STUDENT NAME: ______________________
___________________________ Parent Home or Cell Phone
_____________________________________
________________________
Parent/Guardian (Indicate Title: Mr., Mrs., Ms., Dr.)
Email Address
_________________________________________________
______________________ Business Phone
____________________________________
Family Physician
Physician’s Phone
I consent to my student’s participation in the DRIVERS ED. course. I also consent to and authorize the provision of emergency medical treatment for my student until I can be contacted and agree to be responsible for the cost. _____________________________________________
________________________________
Signature of Parent or Guardian
Date
In case of emergency if parent cannot be reached, call. _____________________________________ Name
_______________________________ Relationship
_________________________ Phone
12:30-2:30 p.m. 30-hours of state-mandated classroom instruction* *Participants schedule the additional 12 hours (included in price) behind-the-wheel / observation requirement with the instructor. Students may meet their Just Drive vehicle at University School or Whitefish Bay High School.
$385(by 5/14); $395 (after 5/14) Fee includes 30 hours classroom instruction and 12 hours of vehicle instruction.
For ages 14½ and up:
Classroom instruction (30 hours)
(Behind-the-Wheel is scheduled when participants reach age 15½.)
For ages 15½ and up: Behind-the-Wheel (6 hours) In-vehicle Observation (6 hours) Some notes about Just Drive: USM is pleased to begin a relationship with Just Drive for our summer drivers ed. program. Just Drive comes highly recommended for the quality of its program, instructors, and vehicles. Just Drive maintains a staff of state certified instructors to accommodate students. If students must wait to take the in-vehicle portion of the program, they will find that Just Drive will work with them to arrange a convenient schedule. Mail registration and fee to: USM – Summer Drivers Ed. 2100 W. Fairy Chasm Road Milwaukee, WI. 53217 Questions? Please contact the summer programs office, 414.540.3351
DRIVERS ED. 2015 (#1010) $385 (by 5/14) or $395 (after 5/14)
Name: _______________________________ Grade (in fall ’15): ________ Birthdate: _____________ Address: ______________________________ _________________________ ________________ (number, street name)
(city)
Phone:_________________ e-mail:_________________
(zip code)
(Please circle) Gender: M F
USM Student: Yes No
~ Please complete registration on next page. ~ ____________
_______________
______________
_______________
_______________
ACTIVITIES PARTICIPATION AND EMERGENCY MEDICAL PERMISSION STUDENT NAME: ______________________
___________________________ Parent Home or Cell Phone
_____________________________________
________________________
Parent/Guardian (Indicate Title: Mr., Mrs., Ms., Dr.)
Email Address
_________________________________________________
______________________ Business Phone
____________________________________
Family Physician
Physician’s Phone
I consent to my student’s participation in the DRIVERS ED. course. I also consent to and authorize the provision of emergency medical treatment for my student until I can be contacted and agree to be responsible for the cost. _____________________________________________
________________________________
Signature of Parent or Guardian
Date
In case of emergency if parent cannot be reached, call. _____________________________________ Name
_______________________________ Relationship
_________________________ Phone
