SALEM, OREGON ODOT TEEN PROGRAM REGISTRATION ODOT REGISTRATION SALEM FALL 2021 Consent* I acknowledgeSALEM - WINTER 2022 The classroom portion will be held online. The BTW lessons will meet at The River Church 4675 Portland Rd NE STE 190, Salem, OR 97305 Parent-Student Orientation will be held on Jan. 6th 2022, 630p-730p onlineAcknowledgement* I acknowledgeThe student is required to be in class for 30 hours and in the vehicle for 12 hours per the ODOT statue.Classroom Schedule Acknowledgement* I have read the course outline and agree to the termsI understand there are 2 sections of this course, the classroom section and the BTW section. The classroom section will be held on Thursday's from 4p-7p on Jan. 13, 20, 27, Feb. 3, 10, 17, 24, Mar. 3, 10, 17, 31. The first BTW lesson will be scheduled at the time of registration. Final drive assessments will be held at the middle to end of April.Consent* I acknowledge and agree that my teen must take their first BTW lesson before January 2nd. The first BTW lesson will be schedule when payment is made.Parent Name:* First Last Parent Email:* Parent Phone:*Student Name:* First Last Student Email:* 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 Missed BTW lesson fee is $150. Missed classroom session fee is $150. If your teen misses the first or second class, they will not be able to participate in their first BTW lesson (you will be charged $150). If your teen is late to class they will not be allowed entry and will need to make up that time. You will be charged a fee. If your teen does not complete the course you will be charged $210.Class Regsitration Fee Price: Total $0.00 $425PhoneThis field is for validation purposes and should be left unchanged.