Documente Academic
Documente Profesional
Documente Cultură
LLC
38 Hour Driver Education Registration Classes are held at Hampton Inn & Suite in Marksville Healthcare Professionals teaching the youth of central Louisiana the importance of safe and defensive driving. Louisiana State Certified Driving School
Address:(list PO Box and Physical address) _________________________________________________ __________________________________________________________________ Phone :(Home)__________________________Student Cell___________________________ (Parent)Name:___________________________Parent Cell # _____________________ Email Address:__________________________________________________________ How did you hear about us: Newspaper
DMV Friend_________________________________
Louisiana Department of Public Safety and Corrections School Name and License # Office of Motor Vehicles
Please return this page with your Registration. All of the following information is needed on your Temporary Instruction Permit which allows Kajun Lanes Driving Academy to provide driver training for your child.
Student Name:__________________________________________________
Date of Birth Sex Eye Color Height Weight Hair Color Restrictions
/ /
1. Have you ever experienced any loss of consciousness other than normal Yes No sleep? If yes, explain: 2. Do you have any physical condition such as epilepsy, diabetes, heart trouble, paralysis, fainting spells, dizzy spells, or other type of condition Yes No which could impair your ability to operate a motor vehicle safely? 3. Have you ever been diagnosed with a mental illness or do you have any condition which could impair your ability to operate a motor vehicle Yes No safely? 4. Do you wear contact lenses or glasses when driving? Yes No 5. Do you understand highway warning and direction signs in Louisiana? Yes No 6. Are you aware that a false statement in securing this permit will Yes No automatically revoke the same? A YES answer to 1, 2 or 3 requires that the applicant be referred to his/her physician for clearance prior to issuance of this instruction permit. A copy of the physicians statement and a copy of this permit must be attached to the certificate of completion I swear that the above statements are true to the best of my knowledge.
Signature of Applicant(Student) Date
Date
Classroom Requirements:
1. You must bring your Birth Certificate in on first day of class 2. Please bring your Louisiana Drivers Guide for Class D and E (Study guide). 3. Please bring ink pen and your Louisiana Drivers Study Guide to class. 4. Parents or Legal guardian must come in first day of class with student to sign forms and parent or legal guardian MUST bring their drivers license to sign up student. 5. Please bring a lunch. You will be given 30 minutes for lunch, but will not be allowed to leave. Please instruct your child that they are not allowed to cross Tunica Drive to walk to McDonalds. Kajun Lanes Driving Academy will not be responsible for your child outside of the classroom.
Study Guide:
Click on the below link to print out your Louisiana Drivers Guide for Class D /E Effective date 9/1/13. This study guide is needed for class. Each student must come with a study guide, if this is a problem let me know.
***** Hold Ctrl (key ) and click on below site to print your study guide:
http://dpsweb.dps.louisiana.gov/DPSForms.nsf/
If you are unable to download Louisiana Drivers Guide for Class D and E from the above link go to www.expresslane.org or http://omv.dps.state.la.us/ click on forms and study guide, click blue arrow to the right >License, then click on LA English Driver's Guide Class "D"/"E" Effective date 9/1/2013 download and print it may take a few minutes to download.