ARIN IU28.org

ARIN IU28 Online Driver Education Theory Course

Please complete the following registration eligibility form:

This form is to only be completed by the Parent or Legal Guardian of the potential student.

Student Information

School District
First Name:  
Last Name:  
Jr., Sr., etc.:  
Address:
City:
State:
Zip:
Date of Birth: --
Grade in 2010-2011 School Year
Student's Email Address:

If your student has a learner's permit or license, please complete the following:

Learner's Permit or License:
Permit/License Number:
Expiration Date: --
 

Parent or Legal Guardian Information

First Name:  
Last Name:  
Jr., Sr., etc.:  
Phone Number:
Cell Phone Number:
Parent's Email Address:
 

Disclaimer: The submission of this form will be used to determine the eligibility of the student to be enrolled in the ARIN Online Driver Education Theory Course. Submitting this information does not automatically enroll the student in the class. Once the student's eligibility is determined, you will receive a confirmation email from ARIN.

Schedule
Contact
If you have any questions in regard to ARIN’s Driver Education Program, contact us at

Phone: 724-463-5300 x1125

Email: drivered@iu28.org