Driver's Education 50-Hour Drive Log Form

Big Horn School District #2 Board of Cooperative Educational Services

Driver Education Program #17
Po Box 596, Lovell WY 82431
Office: 307-548-6466
Mobile: 307-254-7461

Certification: 50-Hour Drive Log With Parents

Name *

First

Last

Permit Number *

Please list date of drive and hours driven below

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Total NIGHT driving hours *

10 Hours is required to receive Driver's Education Completion Certificate.

Total DAY driving hours *

Total drive hours: *

50 Hours is required to receive Driver's Education Completion Certificate. This can be a combination of night and day hours.

I do hereby certify that the above information is true and correct.

Parental Guardian Signature *

Parental Guardian Name *

First

Last

Driver Signature *

Driver Name *

First

Last

Date / Time *

Big Horn School District #2 Board of Cooperative Educational Services

Driver Education Program #17
Po Box 596, Lovell WY 82431
Office: 307-548-6466
Mobile: 307-254-7461

Certification: 50-Hour Drive Log With Parents

Name *

First

Last

Permit Number *

Please list date of drive and hours driven below

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Date

Hours driven

Total NIGHT driving hours *

10 Hours is required to receive Driver's Education Completion Certificate.

Total DAY driving hours *

Total drive hours: *

50 Hours is required to receive Driver's Education Completion Certificate. This can be a combination of night and day hours.

I do hereby certify that the above information is true and correct.

Parental Guardian Signature *

Parental Guardian Name *

First

Last

Driver Signature *

Driver Name *

First

Last

Date / Time *

(307) 548-6466 • Email Us

Driver’s Education 50-Hour Drive Log Form

Big Horn School District #2 Board of Cooperative Educational Services

Please list date of drive and hours driven below

I do hereby certify that the above information is true and correct.

Big Horn School District #2 Board of Cooperative Educational Services

Please list date of drive and hours driven below

I do hereby certify that the above information is true and correct.