Registration LSDS registration2019 – Google Docs Online Class Registration (Credit Card / Paypal)Driving Class*Segment 1Segment 2Level 1 Driver's License* Please enter the full driver's license numberTotal $0.00 Segment 1 Class Date DO NOT SIGN UP FOR ANY SEGMENT 1 CLASSES - WE ARE COMPLETELY FULL FOR 2022*Segment 2 Class Date*Beginning July 5, 2022 - Marquette Hope Connection Center, MarquetteBeginning August 8, 2022 - Marquette Hope Connection Center, MarquetteBeginning Sept. 3, 2022 - Marquette Hope Connection CenterBeginning Nov. 19, 2022 - Marquette Hope Connection CenterStudent Name* First Full Middle Last Parent Name(s)*First NameLast Name Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code This is where the materials will be mailed to.Student Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Parent Email Address(s)* Contact Phone Numbers*Phone TypePhone Number Method of Payment* VISA/Mastercard/Paypal Additional people you'd like us to send information to about your classNameAddressEmail EmailThis field is for validation purposes and should be left unchanged.