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Previous PDS Students ONLY
1 Hour Test Prep Lesson Registration ($65.00)
Please allow a minimum of 2 weeks before BMV test the schedule and complete your Test Prep
*
Indicates required field
Students Name
*
First
Last
Do you have your BMV test scheduled?
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Yes
No
If yes, What is the date of the test
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Who did you previously have for Behind the Wheel?
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Abney, Steve
Beatty, Tim
Caldwell, Jeff
Chaney, Mark
Derenberger, Dean
Dix, Jerry
Evans, Monica
Galbraith, Mike
Kennaley, Tim
Lavigne, Joe
Liddy, Tim
McReynolds, Mike
Prater, Scott
Salyers, Keith
Shaw, Thomas
Thomas, Dyan
Ward, Jason
Watts, John
Young, James
I'm Unsure
Would you like to request your Behind the Wheel instructor?
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Yes
No
No Preference
In detail what is the students availability the week of and the week before the BMV test?
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Parents Name
*
First
Last
Parents Phone Number
*
Parents Email
*
By submitting this form you agree that the above student was a PDS student and to make a
non-refundable/non-transferable $65.00 payment.
Submit