SD57 Career Pathways - Youth Driver Academy Application

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Applications are due April 30th. There are only 100 seats available, and it is first come, first served. The event will take place May 28th at the CN Centre parking lot. More details will follow once you have registered.

Student Information

You will receive a confirmation by email.

First name *

Last name *

×

Email *

Mobile *

Gender

Date of birth *

Grade *

What School do you belong to? *

PGSS CHSS DPSS DP TODD STKRSS Mackenzie Valemount McBride ACP/CIDES x Clear

Parent / Guardian Contact Information

First name *

Last name *

×

Email *

Mobile *

Do you have reliable transportation May 28th to get to the CN Cente? *

Yes No x Clear

Do you need help or assistance getting dropped off or picked up from the CN Centre? *

Yes No x Clear

Why do you want to join this program? *

What does it mean to you to be a safe driver? *

What do you hope to get out of participating in this program? *

Student Signature*

Please sign your name inside the box

Draw Type

×

×

Style 1 ▾

Style 1

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Style 5

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Connect to fill this form

Please type in your email or mobile number. We will send you a connection code.

Waitlist

Leave us your coordinates. We will contact you when a spot frees up.

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Membership

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If you need further assistance, please write to info@activitymessenger.com. Please include a screen capture if possible.

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