Road Runner Driving School
725 Farmers Lane, Ste. 3, Santa Rosa, CA 95405
(707) 546-3238
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Welcome to
Road Runner Driving School
Dear student please complete steps 1 through 3 to signup for a classroom and have your seat reserved. Our web site is updated Real-Time so to assure accuracy of the information. Please make sure to include your email address because your enrollment confirmation will be sent there.
Package Name
Package Description
Price
Select
1) Single Lesson
Adult is 18 years old and above
One-on-One Driving Lesson (2 hours)
Must have valid California permit or driver's license
Adult is 18 years old and above
One-on-One Driving Lesson (2 hours)
Must have valid California permit or driver's license
$
200.00
2) Three Lessons
Adult is 18 years old and above
3 One-on-One Driving Lessons (2 hours each)
Must have valid California permit or driver's license
Adult is 18 years old and above
3 One-on-One Driving Lessons (2 hours each)
Must have valid California permit or driver's license
$
600.00
3) Five lessons
Adult is 18 years old and above
5 One-on-One Driving Lessons (2 hours each)
Must have valid California permit of driver's license
Adult is 18 years old and above
5 One-on-One Driving Lessons (2 hours each)
Must have valid California permit of driver's license
$
1000.00
, Price: $
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Location:
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Main Office
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Class Number
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End Date
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Student Information
First Name:
*
How Did You Hear About Us:
-- Select --
DOR
FRIEND OF PARENT
FRIEND OF STUDENT
GOOGLE
HIGH SCHOOL PAPER
HIGH SCHOOL PARENT NEWS LETTER
INTERNET SEARCH
NEXTDOOR
OTHER
PARENT
ROADRUNNER WEBSITE
SIBLING TOOK COURSE
SIGN IFO SCHOOL ON FARMERS LANE
SIGN ON TRAINING VEHICLE
UNKNOWN
*
Middle Name:
Apartment #:
Last Name:
*
Height (i.e. 5' 5"):
*
Address:
*
Parent/Guardian Name 1:
City:
*
Parent/Guardian Email 1 :
State and Zip:
-- Select --
CA
*
Parent/Guardian Phone 1:
Date Of Birth:
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*
Parent/Guardian Name 2:
Student Email:
*
Parent/Guardian Email 2 :
Home Phone:
*
Parent/Guardian Phone 2:
Student Cell:
*
Drivers License/Permit Number:
Gender:
-- Select --
Male
Female
*
Drivers License/Permit Issued Date:
High School (Teen Only):
-- Select --
Cardinal Newman
CASA GRANDE
Cherry Ridge
Cloverdale
CREDO
El Mo
Elsie Allen
FORT BRAGG
Healdsburg
Independent Study
Maria Carillo
MENDOCINO
Mesa
Montgomery
New Horizon
Orchard View
Other
Pathway Charter School
Piner
Pivot
Rancho Cotati
Ridgway
ROSELAND COLLEGIATE PREP
ROSELAND UNIVERSITY PREP
Santa Rosa
Sonoma Academy
Sonoma State University
Sonoma Valley
SRJC
Summerfield Waldorf
Tech High
Tomales
West County High
Willits High
Windsor
Drivers License/Permit Expiration Date:
Wear Glasses/Contacts:
-- Select --
Yes
No
*
Parent Other Phone (Teen Only):
Do you have a discount coupon?Enter code:
I have read and agree to Roadrunner Driving School's
Terms and Conditions
.
*
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Payment Information
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Billing First Name:
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*
Billing Last Name:
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Card Number:
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Billing Address:
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*
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What is This?
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*
Billing State and Zip:
-- Select --
CA
*
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