ODOT Registration - DAVID DOUGLAS - WESTSIDE DRIVING SCHOOL

Consent*

I acknowledge

THERE ARE 2 PORTIONS OF THIS CLASS. A CLASSROOM PORTION AND A BEHIND-THE-WHEEL (BTW) PORTION. THE LOCATION WILL BE THE SAME FOR BOTH PORTIONS.

This course will be held in person at the below address.
First United Methodist Church Beaverton
12555 SW 4th St,
Beaverton, OR 97005
Day: Monday’s
Time: 5p-8p

Classroom Schedule Acknowledgement*

I have read the course outline and agree to the terms (T&C)

HERE IS THE CLASSROOM SCHEDULE FOR FALL 2024
Every student is required to attend:
Parent-Student Orientation: Dec 30th OR Jan 2, 2025 630p-730p
Course dates: Jan. 6, 13, 20, 27, Feb. 3, 10, 17, 24, Mar. 3, 10, 17
You will be charged $150 if you miss orientation

BTW Lesson Schedule Acknowledgment*

I acknowledge and agree

HERE IS THE BEHIND THE WHEEL (BTW) SCHEDULED FOR WINTER 2024
THIS PROGRAM CATERS TO STUDENTS WITH AN ALTERNATIVE HIGH SCHOOL SCHEDULE. THE BEHIND-THE-WHEEL LESSONS ARE HELD ON DURING THE DAY.
BTW time slot options are:
Mondays – 230p-430p
Tuesdays – 230p-430p
Wednesdays – 2p-4p
Thursdays – 230p-430p

Behind the lessons will be scheduled on a first come first serve basis based on when you registered. Please expect the final drive assessment to be scheduled in the middle of April.

BTW Lessons will meet at:
First United Methodist Church Beaverton
12555 SW 4th St,
Beaverton, OR 97005

Student Name:*

First Last

Student Email:*

Parent Name:*

First Last

Parent Email:*

Parent Phone:*

What High School does the student attend?*

Student Permit Number:

Reduced Lunch Discount

I qualify for reduced lunches
I DO NOT qualify for reduced lunches

Consent & Agreement to Terms*

I agree to the below terms and conditions.

Cancellation fee before orientation $100
Rescheduled BTW lesson fee is $150.
If my teen misses the first or second class, they will not be able to participate in their first BTW lesson (we will be charged $150).
If my teen is late to class they will need to make up that time. We will be charged $45.
If your teen does not complete the course you will be charged $210.

Class Regsitration Fee

Price:

Westside Driving School will call you to collect payment and schedule the first BTW lesson.

Name

This field is for validation purposes and should be left unchanged.

ODOT TEEN PROGRAM REGISTRATION

ODOT REGISTRATION - BEAVERTON WINTER 2025

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