1.	The following person(s) is registering for bus driver training:*
	First Name   Last Name   Daytime Phone   Email   Class #   8 or 20 hr. Class Registrant #1             Registrant #2             Registrant #3             Registrant #4             Registrant #5

2.	District:*

3.	IF NOT REGISTRANT, name of person completing this form: If you are completing this form for others to attend the training, please give us your name.

4.	IF NOT REGISTRANT, phone number of person completing this form: If you are completing this form for others to attend this workshop, please give us your phone number in case we need to contact you.

5.	IF NOT REGISTRANT, email address of the person completing this form: If you are completing this form for others to attend this workshop, please give us your email address in case we need to contact you.