2017-2018
Middleton-Cross Plains Area School District Driver Education Registration Form
CESA 2, PO Box 400, Spring Green, WI 53588
Call Heidi w/ questions: 608-588-3727
http://cesa2.com
Student Name: __________________________________________________________________
(PLEASE PRINT YOUR FULL LEGAL NAME CLEARLY)
Address: ______________________________________________________________________
City, State, Zip __________________________________________________________________
Parent Email: ___________________________Student Email: __________________________
Telephone #: (____) _______________________________ Birthday: _____________________
Parent/Guardian Signature: _______________________________________________________
State of Wisconsin Driver Education Age Requirements: Must be 15 years old to enter classroom only. Must pass the temporary license tests
provided during the classroom session. Must be a minimum of 15-1/2 years old to obtain a temporary license from the State of Wisconsin DMV
Please visit cesa2.com to register now by using a Credit or Debit Card
OR
Fill out this registration form. Make check or money order payable to: CESA 2
Mail completed registration form and payment to: CESA #2, P.O. Box 400, Spring Green, WI 53588.
Registrations sent without payment will not be processed.
Cost of the Classroom dates & times below & BTW-$400
On-line-Independent study & BTW-$425
(Required textbook to be purchase by student – See back)
Behind the Wheel (BTW) instruction is scheduled on an individual basis & separately from dates & times listed below.
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ON-LINE (On-line program is at your own pace-Independent Study. Must complete entire course to be eligible for Temporary License.)
Middleton Classroom June 2017 (June 12-June 30, 2017)
Monday-Friday Every weekday
 8:00-10:00 AM or 11:00-1:00 PM
 Middleton Classroom July 2017 (July 10-July 28, 2017)
Monday-Friday Every weekday
11:00-1:00 PM
 Glacier Creek Classroom July 2017 (July 10-July 28, 2017) Monday-Friday Every weekday
8:00-10:00 AM
 Middleton Classroom August 2017 (Aug 7-Aug 25, 2017)
Monday-Friday Every weekday
 8:00-10:00 AM or 11:00-1:00 PM
 Middleton Classroom Fall 2017 (Sept 11-Nov 8, 2017)
Monday & Wednesday
4:00-6:00 PM
 Middleton Classroom Fall 2017 (Sept 12-Nov 9, 2017)
Tuesday & Thursday
4:00-6:00 PM
 Middleton Classroom Winter 2018 (Jan 29-Mar 8, 2018)
Mon, Tues & Thurs
4:00-6:00 PM
 Middleton Classroom Winter 2018 (Jan 29-Mar 8, 2018)
Mon, Wed & Thurs
4:00-6:00 PM
 Middleton Classroom Spring 2018 (Mar 19-May 16, 2018) Mon & Wed
4:00-6:00 PM
 Middleton Classroom Spring 2018 (Mar 20-May 17, 2018) Tues & Thurs
4:00-6:00 PM
Attendance is Mandatory
Classes will be held at Middleton High School in room 1701, unless otherwise noted.
All classes need a minimum of 15 students to be run.
Please list below any dates and reasons that you will be gone due to vacations, camps, etc…!
Please indicate below if your student has any special education needs. We will do our best to accommodate them.
Questions should be directed to Jay Parker phone: 608-588-3727 or e-mail [email protected]
A $22.00 No-Show fee will be imposed for any missed Behind the Wheel Lesson. The fee will be due upon next lesson.
2017-2018
MIDDLETON-CROSS PLAINS AREA SCHOOL DISTRICT DRIVER’S EDUCATION PROGRAM
CESA #2 is assisting Middleton Cross Plains High School with the Drivers’ Education Program. For your convenience, students may attain
a Wisconsin driver’s license through a program offered by CESA #2, at the Middleton Cross Plains High Schools’ campus, both during the
school year and during the summer.
Driver Education is a foundation course, which teaches the theory of responsible driving, defensive driving, and emphasis is placed on
the introduction of the proper safety mechanics of safe driving. The course is designed to improve the student’s knowledge of traffic
safety and to become safe operators of motor vehicles. The course covers all areas of vehicle operation, legal obligations, maintenance,
effects of alcohol and other drugs, with a strong emphasis on distractive driving. Students are taught to understand that a “collision”
occurs primarily because of a person’s lack of knowledge and decision making. CESA #2 follows all policies and procedures that are
set by the Middleton Cross Plains High School.
Both the classroom classes and Behind the Wheel lessons are taught at Middleton Cross Plains High School. We provide 30 hours of
classroom instruction, 6 hours of Behind the Wheel along with 6 hours of Observation that are required by the State of Wisconsin. Your
student must successfully complete both the classroom and Behind the Wheel requirements in order to be eligible for the
Department of Public Instruction course completion form. This form is required by the DMV in order for the student to take the
Wisconsin Licensing Driving Skill Test.
PROGRAM COST
The cost of the 2017-2018 Drivers’ Education program offered by CESA #2, including both classroom instruction and Behind the
Wheel instruction, is $400.00. The cost of the online class, including Behind the Wheel instruction, is $425.00. Please call Heidi
for a payment plan at 608-588-3727.
ENROLLMENT PROCESS
State of Wisconsin Driver Education age requirements: The student must be 15 years old to enter classroom and pass the temporary
license tests provided during the classroom session. The Student must be a minimum of 15-1/2 years old in order to obtain a temporary
license from the State of Wisconsin DMV. Students must be attending class to be eligible for the Temporary License.
A student may enroll in the CESA #2 Drivers’ Education classroom porti on of the program when they are fifteen years of age.
CESA #2 must obtain parental consent in order to provide Driver Education services to your child.
Please visit cesa2.com to register now by using a Credit or Debit Card
OR
A registration form must be completed and sent along with Personal Check or Money Order made payable to CESA 2. Send
both to: CESA #2, Box 400, Spring Green, WI 53588.
CESA #2 requires information on any special needs that your child might have i.e. hearing impaired, ADD , IEP’s, juvenile diabetes,
etc. We will do our best to accommodate the needs for your child’s success.
Students that attend the class without registering with CESA # 2 will not receive instruction. Registration forms are located in the
Middleton Cross Plains High School Main office or they may be downloaded at the following website: http://cesa2.com.
ON-LINE DRIVER EDUCATION CLASS
CESA #2 offers an On-line Drivers’ Education program that allows students to fit Drivers’ Education coursework into their schedule
whenever it is convenient for them to do so. This is a 20 week course and must be completed in full before the student is eligible to get
their permit license. The Students enrolled in the online program complete the classroom instruction through the internet and the Behind
the Wheel instruction at the Middleton Cross Plains High School campus. Students may enroll in the online course at any time. Students
will receive an email with information regarding accessing the course and who their online instructor will be.
Required Textbook: This course is based off of AAA's book, How to Drive. This book must be purchased and is not provided through
CESA2. How to Drive is offered as a soft-cover book or an e-book.
For more information regarding CESA #2 on-line course and links to purchase the required text book, please access our website at
http://cesa2.com.
QUESTIONS
Registration, On-line and payment questions should be directed to: Heidi Bauer, by email at [email protected] or call 608-588-3727.
Classroom and Behind the Wheel questions should be directed to Jay Parker at [email protected] and by phone at 608-588-3727.