Shield Driving Academy
38579 SE River Street, Suite #5, Snoqualmie, WA 98065
(425)369-0911 | Fax: 		 



Welcome to Shield Driving Academy
Please complete steps 1 through 3 to sign-up for a DOL Road Test (skills). Please include your email address so we may send your confirmation and reminders prior to your exam.
Package NamePackage DescriptionPriceSelect
Road Test with Customer's vehicle DOL skills test in your vehicle $45.00
 
 
 
Student Information
First Name:  * Cell Phone:  *
Middle Initial:   How did you hear about us?:  *
Last Name:  *   Gender:  *
Address:  * ID/Permit/LIC #:  *
What is this?
City:  * ID/Permit/LIC Issued Date:     Pick the Birth Date  *
State and Zip:    * ID/Permit/LIC Expiration Date:   Pick the Birth Date  *
Date Of Birth:      * Do you have any medical conditions that we should be aware of?    *
Email:  *
Why we are asking for this? 		Medical Condition Explanation:
Home Phone:    
High School:   Friend Referral Name:   
Wear Glasses/Contacts:
Coupon Code:      Special Needs:    
Parent/Guardian Name:     Parent/Guardian Email:    
Parent/Guardian Cell #        
 
I have read and agree to Shield Driving School's Policies and Procedures.
 
* - Required   
 


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