Does the student have any disabilities? If so, please explain.

Please deliver, fax or mail the registration form, $50 deposit and copy or driving permit to: Lake Chevrolet’s: Drive Wise 3005 Willow Creek Court Clear Lake, IA 50428. Please call 641.357.2612 with any questions.

*PLEASE NOTE: The total cost of $300 includes the $50 deposit due at the time of registration. Should a parent and/or student decide to cancel their registration from a class, all money paid will be refunded to them excluding the $50 deposit. If payment had been made for the deposit only upon cancellation of class, no reimbursement will be issued.

**I understand that it is my responsibility to notify Lake Chevrolet Drive Wise program if my students permit has been suspended during the durations of their class time.


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