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.

 
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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