In conjunction with your (son or daughter) application a copy of the studentís birth certificate is required. Please note a student must be at least 15 years & 9 months old by the start of the course or 16 years old by the conclusion of the course per State Law.
Prior to the first day of class, a student must provide written proof that they have passed an eye test; 20/40 vision (with corrective lenses if necessary) is the State requirement. Most students arrange for this test with their high school nurse.
A non refundable deposit of $170.00 in advance is required to secure a student in a class. The balance of $500.00 is due payable by the first class.†
Mr. Hís Driving School, 6 Tracy Drive, Derry, N.H. 03038
Applications are accepted on a first come, first serve basis; Students are registered upon receipt of completed forms, deposit check and birth certificate.
PLEASE PRINT FULL LEGAL NAME
(First, Middle, Last)
(Street, City, State, Zip)
(class confirm. purposes)___________________________________________________
Student Home Phone_____________________ Date of Birth______________________
Parent Names___________________________Work Phone_______________________
Requirement: Please note (circle) the studentís after school availability for driving.
†Mon† Tues† Wed† Thurs† Fri† Sat†