Registration | Lake Superior Driving School

Online Class Registration (Credit Card / Paypal)
Driving Class*
Level 1 Driver's License*

Please enter the full driver's license number
Total
$0.00
Segment 1 Class Date*
Segment 2 Class Date*
Student Name*
First Full Middle Last
Parent Name(s)*
First Name Last Name
Address*
Street Address Address Line 2 City State ZIP Code

This is where the materials will be mailed to.
Student Date of Birth*
Parent Email Address(s)*
Contact Phone Numbers*
Phone Type Phone Number
Method of Payment*
- VISA/Mastercard/Paypal
Additional people you'd like us to send information to about your class
Name Address Email
Comments
This field is for validation purposes and should be left unchanged.

First Name	Last Name

Phone Type	Phone Number

Name	Address	Email

Online Class Registration (Credit Card / Paypal)