Teen Course Registration

If you are unfamiliar with the process and how things work, please click here.

First Name (as spelled on permit, please don't capitalize every letter)

Middle Initial(s) (if no middle initial(s) put "N/A")

Last name (as spelled on permit, please don't capitalize every letter)

Student Age (If 18+, not eligible for our course)

Date of Birth

Month

Day

Year

Student Address

City

Zip Code

Number on Permit (starts with "H1")

What is the permit type for this permit? It is listed on the permit.

Learner's Permit

School Learner's Permit

If student already has POP or School Permit, choose this option.

Permit Issued Date

Month

Day

Year

Is this permit first time issued or renewed?

First Time Issued

This Permit Was Renewed

Class Session Wanting to Attend

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Cell (i.e. 4023414555)

Student Cell (Optional)

Student Email (Optional)

Cornhusker Driving School 402-341-4555 cornhuskerdrivingschool@gmail.com