Please return this form along with the $125.00 deposit/registration fee to: Teen Driver Inc., PO Box 55, Runnells, IA 50237.
The remainder of the fee ($200) is due at the first class. Students that qualify for full fee waiver verified by the South Hamilton School District need to send no money with form, all fees are paid by the district. Students that qualify for partial fee waiver verified by the South Hamilton School District send the deposit ($125) with form, the balance ($100) is due at first class. The District will pay the remaining fee of $100. Under comments above check if you qualify for full or partial fee waiver at the South Hamilton School. Out of district cost is $340 follow instructions above for payment. Please call us at (515) 729-3414 for more information, questions or concerns. Please note your class dates and times on your calendar. Confirmation will be made by email, phone or post card one week prior to class start date. No refunds after first class session.