High Desert Driving School Enrollment form

Completing the following online pre-enrollment application and a High Desert Driving School representative will contact you shortly.

High Desert Driving School - Enrollment
Name:
Address:
City:
Zip:
Major Cross Streets	&
Age:
Date of Birth:	(mm/dd/yyyy)
Home Phone:	( )
Emergency Phone:	( ) Home Work Pager Cell
Emergency Contact Name:
High School:
Referred By:
*e-mail:

Thank you for completing this online pre-enrollment application.
A High Desert Driving School representative will contact you shortly regarding class registration. hdds@antelecom.net