School Information
Instructor’s First Name: Russ Yost
Instructor’s Last Name: Yost
Instructor’s Phone Number: 316-448-2072
Instructor’s Email: info@yostdrivingschool.com
School Name: Yost Driving School
School Address Line 1: 1735 E 2nd St
School Address Line 2: Ste A
School City: Wichita
School State: KS
School Zip: 67214
USD No: N/A
Student Information
Legal First Name: varfirstname
Middle Name: varmidname
Legal Last Name: varlastname
Suffix : varsuffix
Phone Number : varphone
Address Line 1: varaddress1
Address Line 2: varaddress2
City : varcity
State: KS
Zip : varzip
Sex: MalevarsexM FemalevarsexF
Date of Birth: 06/28/2011
Eye Color: vareyecolor
Height: __varheightft___ft __varheightin___In
Weight in lbs: varweight
License Questions
Are you a resident of Kansas? YesvarresidentansY NovarresidentansN
Have you attended driver education in the past 12 months? varatenddriveeduans
If yes, did you complete and pass driver education? varatenddriveedudesc
Do you have a Kansas Credential (identification, permit, driver's license)? varcurrentlicans
If yes, enter the Kansas Credential Number: vardl
Parent and student can sign at the same time or seperately. If the other party isnt present just fill out your part and check "I agree" and "Submit All"
After submitting you can close this window. You can click "Start over" to remove your signatures