driver education registration - McGANN Mercy

BISHOP MCGANN~MERCY DIOCESAN HIGH SCHOOL
1225 Ostrander Avenue
Riverhead, NY 11901
631-727-5900
www.mcgann-mercy.org
PLEASE KEEP FOR YOUR RECORDS
Dear Parents or Guardians, Summer 2013
Enclosed you will find a Registration Form for any student who wishes to take Driver’s Ed for the summer. Please note that
a student must be 16 years of age and must have a Learner’s Permit prior to registering.
New York State mandates that each student complete 24 hours of classroom instruction training and 24 hours of in-car
training which consists of 6 hours of behind the wheel time and 18 hours of observation for a total of 48 hours. Therefore,
each student must complete 16, 90-minute driving sessions, and 16, 90-minute lecture sessions. THE PROGRAM RUNS
FOR 16 DAYS.
Due to these strict hour requirements, it is strongly recommended that you do not have your child sign up for Driver’s
Ed if it will interfere with any summer school activity, sport or personal vacation. There are no absences allowed for
summer Driver’s Ed.
Students who are disruptive, aggressive, or who create an unsafe driving situation, may be disciplined in accordance with the
school’s student discipline policy; such disciplinary action may result in removal from the program without a refund.
Upon successful completion of the course…all driving time completed; all classroom time completed; all written
assignments turned in at the time they are due; passing grade on all exams and Driver Education textbook returned…
your child will receive an MV-285 completion certificate. This certificate is proof to the DMV and your insurance company
that your child completed all the New York State requirements for operating a vehicle. MV285 certificates that are lost by
the students will require another original to be given, as DMV does not accept copies. In such case a $25.00 fee will be
charged for the replacement of the certificate.
In order to be part of the Summer Driver’s Ed program, the following material must be returned to my attention postmarked
no later than June 3, 2013.
1. Enclosed Registration Form (filled out and signed by both parent and student)
2. Photo copy of the student’s learner’s permit or junior license (ID Number and Address must be clear and legible).
3. Check or money order (made out to McGann-Mercy High School).
Please be aware that there are a limited number of spaces in the Driver’s Ed program. Students who return all the material
postmarked no later than the June 3rd deadline will be scheduled according to DATE OF BIRTH based on a first come,
first serve basis. Student handing in their registration material and payment after this date will be processed in the order in
which they are received regardless of date of birth or put on a waiting list if the class has filled up.
If you have any further questions please feel free to contact me at 727-5900 ext. 20.
Sincerely,
Mrs. Irene Corulla
Administrative Assistant to the Principal
& Driver’s Ed Coordinator

DRIVER EDUCATION REGISTRATION
BISHOP McGANN~MERCY HIGH SCHOOL
1225 Ostrander Avenue, Riverhead, N.Y. 11901
(631) 727-5900 Ext. 20
Summer
2013
_________________________________________________________________________________________
Student’s Last Name Student’s First Name Middle Client ID # (permit)
_________________________________________________________________________________________________
Street Address Town & State Zip Code
___________________________________________________________________________________________________________
Home Telephone # Father/Guardian cell # Mother/Guardian Cell #
Age on July 1, 2013___________Date of Birth__________________________________Grade________Male______Female______
School presently attending_____________________________________________________________________________________
Parent/Guardian’s e-mail______________________________________________________________________________________
Driving and Classroom: Choose one classroom and one driving time. Also include a legible copy of permit along with payment.
SUMMER DRIVER’S ED IS EVERYDAY OF THE WEEK FOR 16 DAYS. Please indicate month: July_____ or Aug._____
Session 1 (July) begins July 1 st . ~ Session 2 (August) begins July 29 th . ~ Both Driving and Classroom must be done in 1 session.
All students must be 16 years of age
in order to be enrolled.
Choose one classroom time:
________9:45 AM – 11:15 AM
(Monday thru Friday)
Enrollment is on a first come, first serve basis. If the time you choose is filled, you will be
placed in the next available time slot for driving and classroom. Choose one weekday
Driving Class:
________8:00 AM – 9:30 AM - (Monday thru Friday)
________9:45 AM – 11:15 AM - (Monday thru Friday)
________11:30 AM- 1:00 PM
(Monday thru Friday)
________11:30 AM – 1:00 PM – (Monday thru Friday)
________1:15 PM – 2:45 PM – (Monday thru Friday)
THERE ARE NO ABSENCES ALLOWED FOR SUMMER DRIVER’S ED. PLEASE DO NOT SIGN UP FOR SUMMER
DRIVER’S ED IF THERE IS A CONFLICT OF INTEREST WITH ANY ACTIVITY, SPORT, OR PERSONAL
VACATION.
New York State requires that each student complete 24 hours of classroom lecture and 24 hours of in-car training (which consists of
6 hours of behind the wheel time and 18 hours of observation, for a total of 48 hours.) Therefore, each student must complete 16, 90-
minute driving sessions, and 16, 90-minute lecture sessions. Your child must also turn in all written assignments at the time they are
due, pass both the Driver’s Ed Mid-term and Final Exam, and return the Driver Education textbook in order to successfully complete
the course. Students who are disruptive, aggressive, or who create an unsafe driving situation, may be disciplined in accordance
with the school’s student discipline policy; such disciplinary action may result in removal from the program without a refund. After
receiving the MV285 certificate, if this certificate is lost, a $25.00 fee will be charged to the students for a replacement of another
original since the DMV does not accept copies.
I, and my child have read and hereby agree to the terms defined above and I give my son/daughter permission to enroll in the Driver
Education program offered at McGann-Mercy High School.
___________________________________ _____________________________ ___________
Signature of Parent/Guardian Name Printed Date
___________________________________ _____________________________ ___________
Signature of Student Name Printed Date
FULL PAYMENT OF $550.00 IS DUE WITH THIS REGISTRATION FORM. (We cannot reserve spots for unpaid registrants
as the class fills up very quickly.) No registration form will be accepted without a photo copy of the student’s learner’s permit
or junior license.
PLEASE DO NOT WRITE BELOW THE LINE
McGann~Mercy Office Use Only: TUITION: $550.00 DATE PAID______________________________CHECK #__________________
Administration Signature:______________________________________________________________________________________________________________

Bishop McGann~Mercy Diocesan High School
1225 Ostrander Avenue
Riverhead, N.Y. 11901
631-727-5900 extension 20
Calendar Dates for Summer Driver’s Ed
Driving and Classroom instruction will take place on the following days of the
month for either session.
Month of July: Session 1
Monday Tuesday Wednesday Thursday Friday
1 2 3 4 - No Driving
or classroom
5- No Driving
or classroom
8 9 10 11 12
15 16 17 18 19
22 23 24
Month of August: Session 2
Monday Tuesday Wednesday Thursday Friday
July 29 July 30 July 31 1 2
5 6 7 8 9
12 13 14 15- No Driving
or Classroom
19 20
16