Kiefer Public Schools

Please complete the form to enroll in Mr. Giddens’ summer 2022 driver’s ed. course.

You must be 15 years old by July 1, 2022.

Cost is $185.00, payable by cash or check to Kiefer Public Schools

You may drop off your payment to the front office of the high school.

Thank you completing the Kiefer Driver's Education Course enrollment form. Mr. Giddens will be in contact with you.

If you have additional questions, please contact Mr. Giddens at jgiddens@kiefer.k12.ok.us

Summer 2022

Student Driver's Full Name (First Middle Last) (John Michael Doe)

Student Driver's Date of Birth

Student Driver's upcoming 2022-2023 Grade Level

Reaquired field: 9th

Reaquired field: 10th

Reaquired field: 11th

Reaquired field: 12th

Student Driver's Phone Number

Guardian's Name

Guardian's Phone Number

Email a copy to

optional

Required Fields