PLEASE PRINT ENTIRE PAGE AND COMPLETE SURVEY IN CENTER OF FORM. THANK YOU.

Home | Registration | Links | Directions | Adult Remedial Class Information

LOCATION: LAND OF LEGEND DRIVING SCHOOL INC. 156 Everett Ave. Newark, Ohio 43055 740-349-0955 Near the totem pole at Corner of Everett and Front St.

How did you hear about us ? ____________________________

Which phone book do you use ? Windstream (Alltel), Haines, YellowBook / YellowPages

Did you contact the school ? YES / NO ( if yes, by phone or email )

How did you get our website address ? _______________________________

Overall what do you think of our website?____________________________

Informative, not enough information, too much information, easy to navigate, not easy to navigate pages, other

Suggestions:

SEATING FOR CLASSES LIMITED PRE-REGISTRATION PREFERED

(walk in students accepted if seating is available)

No personal checks accepted for this class.

CASH – MONEY ORDER – CREDIT CARDS ACCEPTED

REMEMBER TO BRING : PICTURE ID & CLASS FEE and LUNCH (or money to order lunch)

MUST PROVIDE INFORMATION FOR CERTIFICATE : FULL NAME – DOB – CURRENT ADDRESS & DRIVER’S LICENSE

STUDENT NAME : ____________________________________ DOB_________________ DL #________________

DATE OF CLASS :SATURDAY ____________________________

CLASS START TIME : 8 : 00 am – OFFICE CLOSES AND REGISTRATION ENDS AT 7:50 am

COUPON FOR ADULT REMEDIAL CLASS STUDENT IS PRE-REGISTERED FOR CLASS (seat is reserved for you in class) COUPON $ 10.00 OFF (Ten dollars) LIMIT ONE DISCOUNT PER STUDENT PRESENT COUPON AT TIME OF PAYMENT

Coupon good for adult remedial class WALKIN STUDENTS (walk in students accepted if seating is available ) COUPON $ 5.00 OFF (Five dollars) LIMIT ONE DISCOUNT PER STUDENT PRESENT COUPON AT TIME OF PAYMENT

CIRCLE WHICH DISCOUNT COUPON YOU WISH TO USE

  PLEASE PRINT ENTIRE PAGE AND COMPLETE SURVEY IN CENTER OF FORM. THANK YOU.

updated July 2008