Alert Driving School
4522 NW 50th, Oklahoma City, OK 73122
(405)948-7000 | Fax: 		 
Welcome to Alert 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 NamePackage DescriptionPriceSelect
30 Minute Practice Drive and Test 30 Minute Practice Drive and State Road Test (Driver's License Test)
 
Meet at Testing Location
 
Includes State Road Test fee of $25
 
REQUIREMENTS

*NOTE: Student MUST have a valid OK permit


*NOTE: Student MUST HAVE a Certificate of Completion from a DPS Certified Driver's Ed School (Commercial or Public/Private School) in Oklahoma IF UNDER 16 1/2 YEARS OF AGE.

**Permit must be 6 months old if you are under 18 or 31 days old if 18 or over (this is based on the issue date on the permit)

***We May test parent taught/online driver's ed students

****Payment MUST be made in full to schedule

>>>>>NO REFUNDS ONCE PURCHASED<<<<<
 $170.00

 
Student Information
First Name:  * High School (Teen Only):
Middle Name:   How Did You Hear About Us:  *
Last Name:  *   Name of friend referring (if applicable):
Address:  * Parent/Guardian Name (Teen Only):
Apartment #: Parent/Guardian Email (Teen Only):
City:  * Parent/Guardian Phone (Teen Only):
State and Zip:    * High School Grade Level: *
Date Of Birth:      * Emergency Name:
Student Email:  *   Emergency Phone:
Home Phone:  *   Emergency Relationship:
Student Cell:  *   Drivers License/Permit Number:
Gender:  * Drivers License/Permit Issued Date: Pick the expiration date.
    Preferred Pickup Location: *
    Preferred Pickup Day: *
    Preferred Pickup Time: *
Wear Glasses/Contacts:  * Parent Other Phone (Teen Only):
Drivers License/Pemit Expiration Date: Pick the expiration date.
Do you have a discount coupon?Enter code:     
 I have read and agree to Alert Driving Academy’s Contract and Agreement

 
 
* - Required   


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