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https://drivingclass.com/signup/

html drivingclass.com collected 2026-10-07 01:48:59 UTC 37,544 bytes, 564 lines download raw bytes

1<!DOCTYPE html>
2<html data-version="25743">
3  <head>
4    <meta http-equiv="content-type" content="text/html; charset=utf-8">
5    <title>Sign up - Professional Driving School</title>
6    <meta name="viewport" content="width=device-width, initial-scale=1.0">
7    <meta name="description" content="Driving School with locations in Cleveland, Garfield Heights, North Olmsted, Parma Heights, Strongsville, Avon, Lorain, North Ridgeville, Ohio">
8    <meta name="keywords" content="driving school, driving class, defensive driving, teenager classes, adult classes, remedial class, Cleveland, Northern Ohio, Ohio, Cuyahoga County, Lorain County">
9    <link rel="stylesheet" type="text/css" href="/css/1140/1140.css?v=21503">
10    <link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/[email protected]/build/pure-min.css">
11    <link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/[email protected]/build/grids-responsive-min.css">
12    <link rel="stylesheet" href="https://use.fontawesome.com/releases/v6.2.0/css/all.css" crossorigin="anonymous">
13    <link rel="stylesheet" type="text/css" href="https://drivingschoolsolutions.com/css/dss/dss.css?v=25743">
14    <link rel="stylesheet" type="text/css" href="/css/nouveau_dss_colors.css?v=25743">
15    <link rel="stylesheet" href="/css/nouveau_main_template.css?v=25743">
16  </head>
17
18  <body>
19
20    <header>
21      <div id="page-header">
22        <div class="page-slider">
23          <div class="center"><img id="logo" src="/images/professional_logo_tiny.png" width="730" height="240" alt="Professional Driving School"></div>
24          <div class="page-slider-call-to-actions">
25            <div class="pure-g">
26              <div class="pure-u-1 pure-u-lg-1-2 page-slider-call-to-actions-buttons">
27                <a href="/signup" class="pure-button button-success button-xlarge"><i class="fa fa-sign-in" aria-hidden="true"></i> Enrollment</a>
28              </div>
29              <div class="pure-u-1 pure-u-lg-1-2 page-slider-call-to-actions-buttons">
30                <a href="/schedule_driving_exam.html" class="pure-button button-error button-xlarge"><i class="fa fa-calendar-check-o" aria-hidden="true"></i> Schedule Driving Exam</a>
31              </div>
32            </div>
33          </div>
34        </div>
35      </div>
36
37      <nav id="main-menu">
38        <div class="mobilelogo"><a href="/">Professional Driving School</a></div>
39        <div id="head-mobile"></div>
40        <div class="button"></div>
41        <ul>
42<!--
43          <li class="active"><a href="/">Home</a></li>
44-->
45          <li><a href="/">Home</a></li>
46          <li>
47            <a href="/classes.html">Classes</a>
48            <ul>
49              <li><a href="/teen.html">Teenager Classes</a></li>
50              <li><a href="/adult.html">Adult Classes</a></li>
51              <li><a href="/online_teen_program.html">Online Teen Program</a></li>
52              <li><a href="/abbreviated_adult.html">Abbreviated Adult</a></li>
53              <li><a href="/limited_term_license_adult_program.html">Limited Term License</a></li>
54              <li><a href="/remedials.html">Remedials</a></li>
55              <li><a href="/jip.html">J.D.I.P.</a></li>
56            </ul>
57          </li>
58          <li>
59            <a href="/schedules.html">Schedules</a>
60            <ul>
61              <li><a href="/btw_schedules/">BTW Schedules</a></li>
62              <li><a href="/classroom_schedules.html">Classroom Schedules</a></li>
63            </ul>
64          </li>
65          <li><a href="/locations.html">Locations</a></li>
66          <li><a href="/prices.html">Prices</a></li>
67          <li>
68            <a href="/contact_us.html">About Us</a>
69            <ul>
70              <li><a href="/contact_us.html">Contact Us</a></li>
71              <li><a href="/FAQ.html">FAQ</a></li>
72              <li><a href="/links.html">Links</a></li>
73              <li><a href="/schedule_driving_exam.html">Services &amp; Rewards</a></li>
74              <li><a href="/employment_opportunities.html">Employment</a></li>
75            </ul>
76          </li>
77          <li><a href="https://drivingclass.com/signup/">Register</a></li><li><a href="https://drivingclass.com/login">Log In</a></li>
78        </ul>
79      </nav>
80    </header>
81
82
83
84    <div id="main-content">
85<!--
86      <div class="pure-g">
87        <div class="pure-u-1 pure-u-lg-1-8"></div>
88        <div class="pure-u-1 pure-u-lg-3-4">
89          <div class="left-content">
90-->
91
92      <div id="content" class="non">
93                  <!-- Main Start -->
94                  <table class="sub_mid_wrapper">
95                    <tr>
96                      <td class="full_width_content">
97                        <br>
98                        <h2 class="center noicon"> Sign up for Professional Driving School!</h2>
99                        <!-- Content Start -->
100                        <table class="admin_main_display">
101                          <tr>
102                            <td>
103                              <div class="administration_table_view">
104                                <div id="notice_to_user" class="warning center"></div>
105                                <div class="center">
106<!--  onsubmit="return checkAge('form');" -->
107                                  <form action="https://drivingclass.com/signup/insert.php" method="post" id="signup_form" onsubmit="return checkAge('form');">
108                                    <table>
109                                      <tr>
110                                        <th colspan="3"><span class="required">*</span> Following fields are required.<input type="hidden" name="dss_url" id="dss_url" value="https://drivingclass.com"></th>
111                                      </tr>
112                                      <!--
113                                      <tr>
114                                        <td colspan="3"><span class="warning">If you do not have a temporary permit yet, please leave the following field empty!</span></td>
115                                      </tr>
116                                      -->
117                                      <tr>
118                                        <td class="right"><span class="required">*</span>Permit/Temporary ID Number: </td>
119                                        <td class="left"><input type="text" name="username" value="" class="check_if_student_username_is_available"> <span id="check_if_student_username_is_available"></span></td>
120                                        <td class="left"><span class="warning">(is your USERNAME)</span></td>
121                                      </tr>
122                                      <tr>
123                                        <td class="right">Permit Date Issue: </td>
124                                        <td class="left">
125
126                                          <input type="date" name="permit_issued_date" id="permit_issued_date" class="pure-u-23-24" value="">
127                                        </td>
128                                        <td class="left"></td>
129                                      </tr>
130                                      <tr>
131                                        <td class="right">Permit Date Expire: </td>
132                                        <td class="left">
133
134                                          <input type="date" name="permit_expiration_date" id="permit_issued_date" class="pure-u-23-24" value="">
135                                        </td>
136                                        <td class="left"></td>
137                                      </tr>
138                                      <tr>
139                                        <td class="right"><span class="required">*</span>Name:</td>
140                                        <td class="left">
141                                          <table>
142                                            <tr>
143                                              <th>First Name</th>
144                                              <th>Middle Initial</th>
145                                              <th>Last Name</th>
146                                              <th>Suffix</th>
147                                            </tr>
148                                            <tr>
149                                              <td>
150                                                <input type="text" name="first_name" id="signup_first_name" value="">
151                                              </td>
152                                              <td>
153                                                <input type="text" name="middle_initial" id="signup_middle_initial" value="" size="1" maxlength="1">
154                                              </td>
155                                              <td>
156                                                <input type="text" name="last_name" id="signup_last_name" value="">
157                                              </td>
158                                              <td>
159                                                <input type="text" name="suffix_name" id="signup_suffix_name" value="" size="3">
160                                              </td>
161                                            </tr>
162                                          </table>
163                                        </td>
164                                        <td class="warning">
165                                          <div class="warning center">If you do not have a middle initial or a suffix, please, insert a dash!<br>This field is to be filled out according to your temporary permit.</div>
166                                        </td>
167                                      </tr>
168                                      
169                                      <tr>
170                                        <td class="right"><span class="required">*</span>Email Address:</td>
171                                        <td class="left"><input type="text" size="38" name="email" id="signup_email" value=""></td>
172                                        <td rowspan="2" class="left">
173                                          <strong>Student does have an email:</strong><br>
174                                          <input type="radio" name="do_not_fill_with_dummy_email" id="do_not_fill_with_dummy_email_yes" class="do_not_fill_with_dummy_email" value="Yes" checked="checked"> <label for="do_not_fill_with_dummy_email_yes">Yes</label><br>
175                                          <input type="radio" name="do_not_fill_with_dummy_email" id="do_not_fill_with_dummy_email_no" class="do_not_fill_with_dummy_email" value="No"> <label for="do_not_fill_with_dummy_email_no">No</label>
176                                        </td>
177                                      </tr>
178                                      <tr>
179                                        <td class="right"><span class="required">*</span>Reenter Email Address:</td>
180                                        <td class="left"><input type="text" size="38" name="reemail" id="signup_reemail" value=""></td>
181                                      </tr>
182                                      <tr>
183                                        <td class="right"><div id="birthdate_labels"><span class="required">*</span>Student Birth Date:</div></td>
184                                        <td class="left">
185                                          <div id="birthdate_fields">
186                                            <input type="hidden" name="hbmonth" id="hbmonth" value="5">
187                                            <input type="hidden" name="hbday" id="hbday" value="6">
188                                            <input type="hidden" name="hbyear" id="hbyear" value="2011">
189                                            <!--
190                                            <select name="birth_date_month" id="bmonth">
191<option value="00" selected="selected">Month</option>
192<option value="1">January</option>
193<option value="2">February</option>
194<option value="3">March</option>
195<option value="4">April</option>
196<option value="5">May</option>
197<option value="6">June</option>
198<option value="7">July</option>
199<option value="8">August</option>
200<option value="9">September</option>
201<option value="10">October</option>
202<option value="11">November</option>
203<option value="12">December</option>
204</select>
205                                            <select name="birth_date_day" id="bday">
206<option value="00" selected="selected">Day</option>
207<option value="01">1</option>
208<option value="02">2</option>
209<option value="03">3</option>
210<option value="04">4</option>
211<option value="05">5</option>
212<option value="06">6</option>
213<option value="07">7</option>
214<option value="08">8</option>
215<option value="09">9</option>
216<option value="10">10</option>
217<option value="11">11</option>
218<option value="12">12</option>
219<option value="13">13</option>
220<option value="14">14</option>
221<option value="15">15</option>
222<option value="16">16</option>
223<option value="17">17</option>
224<option value="18">18</option>
225<option value="19">19</option>
226<option value="20">20</option>
227<option value="21">21</option>
228<option value="22">22</option>
229<option value="23">23</option>
230<option value="24">24</option>
231<option value="25">25</option>
232<option value="26">26</option>
233<option value="27">27</option>
234<option value="28">28</option>
235<option value="29">29</option>
236<option value="30">30</option>
237<option value="31">31</option>
238</select>
239                                            <select name="birth_date_year" id="byear">
240<option value="0000" selected="selected">Year</option>
241<option value="2012">2012</option>
242<option value="2011" selected="selected">2011</option>
243<option value="2010">2010</option>
244<option value="2009">2009</option>
245<option value="2008">2008</option>
246<option value="2007">2007</option>
247<option value="2006">2006</option>
248<option value="2005">2005</option>
249<option value="2004">2004</option>
250<option value="2003">2003</option>
251<option value="2002">2002</option>
252<option value="2001">2001</option>
253<option value="2000">2000</option>
254<option value="1999">1999</option>
255<option value="1998">1998</option>
256<option value="1997">1997</option>
257<option value="1996">1996</option>
258<option value="1995">1995</option>
259<option value="1994">1994</option>
260<option value="1993">1993</option>
261<option value="1992">1992</option>
262<option value="1991">1991</option>
263<option value="1990">1990</option>
264<option value="1989">
2641989</option>
265<option value="1988">1988</option>
266<option value="1987">1987</option>
267<option value="1986">1986</option>
268<option value="1985">1985</option>
269<option value="1984">1984</option>
270<option value="1983">1983</option>
271<option value="1982">1982</option>
272<option value="1981">1981</option>
273<option value="1980">1980</option>
274<option value="1979">1979</option>
275<option value="1978">1978</option>
276<option value="1977">1977</option>
277<option value="1976">1976</option>
278<option value="1975">1975</option>
279<option value="1974">1974</option>
280<option value="1973">1973</option>
281<option value="1972">1972</option>
282<option value="1971">1971</option>
283<option value="1970">1970</option>
284<option value="1969">1969</option>
285<option value="1968">1968</option>
286<option value="1967">1967</option>
287<option value="1966">1966</option>
288<option value="1965">1965</option>
289<option value="1964">1964</option>
290<option value="1963">1963</option>
291<option value="1962">1962</option>
292<option value="1961">1961</option>
293<option value="1960">1960</option>
294<option value="1959">1959</option>
295<option value="1958">1958</option>
296<option value="1957">1957</option>
297<option value="1956">1956</option>
298<option value="1955">1955</option>
299<option value="1954">1954</option>
300<option value="1953">1953</option>
301<option value="1952">1952</option>
302<option value="1951">1951</option>
303<option value="1950">1950</option>
304<option value="1949">1949</option>
305<option value="1948">1948</option>
306<option value="1947">1947</option>
307<option value="1946">1946</option>
308<option value="1945">1945</option>
309<option value="1944">1944</option>
310<option value="1943">1943</option>
311<option value="1942">1942</option>
312<option value="1941">1941</option>
313<option value="1940">1940</option>
314<option value="1939">1939</option>
315<option value="1938">1938</option>
316<option value="1937">1937</option>
317<option value="1936">1936</option>
318<option value="1935">1935</option>
319<option value="1934">1934</option>
320<option value="1933">1933</option>
321<option value="1932">1932</option>
322<option value="1931">1931</option>
323<option value="1930">1930</option>
324<option value="1929">1929</option>
325<option value="1928">1928</option>
326<option value="1927">1927</option>
327<option value="1926">1926</option>
328<option value="1925">1925</option>
329<option value="1924">1924</option>
330<option value="1923">1923</option>
331<option value="1922">1922</option>
332<option value="1921">1921</option>
333<option value="1920">1920</option>
334<option value="1919">1919</option>
335<option value="1918">1918</option>
336<option value="1917">1917</option>
337<option value="1916">1916</option>
338<option value="1915">1915</option>
339<option value="1914">1914</option>
340<option value="1913">1913</option>
341<option value="1912">1912</option>
342<option value="1911">1911</option>
343<option value="1910">1910</option>
344<option value="1909">1909</option>
345<option value="1908">1908</option>
346<option value="1907">1907</option>
347<option value="1906">1906</option>
348<option value="1905">1905</option>
349<option value="1904">1904</option>
350<option value="1903">1903</option>
351<option value="1902">1902</option>
352<option value="1901">1901</option>
353<option value="1900">1900</option>
354</select>
355                                            -->
356
357                                            <input type="date" name="birth_date" id="signup_birth_date" class="pure-u-23-24" min="1906-05-06" max="2011-05-06" value="">
358                                            <div>You need to be born before this date to sign up: <strong>May 6th, 2011</strong></div>
359                                          </div>
360                                        </td>
361
362                                        <td class="warning"></td>
363                                      </tr>
364                                      <tr>
365                                        <th colspan="3"><span class="required">*</span>Student Home Address</th>
366                                      </tr>
367                                      <tr>
368                                        <td class="right"><span class="required">*</span><label for="home_address">Student Address:</label></td>
369                                        <td class="left">
370                                          <input type="text" name="home_address" id="home_address" value="" class="clone_value2pickup_address" size="40">
371                                          <input type="hidden" name="find_proximity" id="find_proximity" value="">
372                                        </td>
373                                        <td class="warning"></td>
374                                      </tr>
375                                      <tr>
376                                        <td class="right"><span class="required">*</span><label for="home_city">City:</label></td>
377                                        <td class="left">
378                                          <input type="text" name="home_city" id="home_city" value="" class="clone_value2pickup_city find_proximity">
379                                        </td>
380                                        <td class="warning"></td>
381                                      </tr>
382                                      <tr>
383                                        <td class="right"><span class="required">*</span><label for="home_state">State:</label></td>
384                                        <td class="left">
385                                          <select name="home_state" id="home_state" class="clone_value2pickup_state find_proximity"><option value="OH">Ohio</option><option value="KY">Kentucky</option><option value="WV">West Virginia</option><option value="PA">Pennsylvania</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District Of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select>
386                                        </td>
387                                        <td class="warning"></td>
388                                      </tr>
389                                      <tr>
390                                        <td class="right"><span class="required">*</span><label for="home_zip">Zip Code:</label></td>
391                                        <td class="left">
392                                          <input type="text" name="home_zip" id="home_zip" value="" class="clone_value2pickup_zip find_proximity">
393                                        </td>
394                                        <td class="warning"></td>
395                                      </tr>
396                                      
397                                      <tr>
398                                        <th colspan="3"><span class="required">*</span>Pick Up Address</th>
399                                      </tr>
400                                      <tr>
401                                        <td class="right">Pick Up Address:</td>
402                                        <td class="left"><input type="text" name="pickup_address" id="pickup_address" value="" size="40"></td>
403                                        <td class="warning"></td>
404                                      </tr>
405                                      <tr>
406                                        <td class="right">City: </td>
407                                        <td class="left"><input type="text" name="pickup_city" id="pickup_city" value=""></td>
408                                        <td class="warning"></td>
409                                      </tr>
410                                      <tr>
411                                        <td class="right">State: </td>
412                                        <td class="left"><select name="pickup_state" id="pickup_state"><option value="OH">Ohio</option><option value="KY">Kentucky</option><option value="WV">West Virginia</option><option value="PA">Pennsylvania</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District Of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select></td>
413                                        <td class="warning"></td>
414                                      </tr>
415                                      <tr>
416                                        <td class="right">Zip Code:</td>
417                                        <td class="left"><input type="text" name="pickup_zip" id="pickup_zip" value=""></td>
418                                        <td class="warning"></td>
419                                      </tr>
420                                      <tr>
421                                        <td class="center warning" colspan="3">Pickup is only for behind the wheel training</td>
422                                      </tr>
423                                        
424                                      <tr>
425                                        <th colspan="3"><span class="required">*</span>Phone Numbers/Contacts</th>
426                                      </tr>
427                                      <tr>
428                                        <td class="right">
429                                          <span class="required">*</span>
430                                          <select name="phone1_type"><option value="Cell" selected="selected">Cell</option><option value="Home">Home</option><option value="Parent-Work">Parent-Work</option><option value="Parent-Cell">Parent-Cell</option><option value="Work">Work</option><option value="Extra">Extra</option><option value="null">None</option></select>
431                                        </td>
432                                        <td class="left">
433                                          (<input type="text" name="phone1_area"  id="phone1_area" value="" class="strip_to_integer move_to_next_on_maxlength" size="3" maxlength="3">)
434                                          <input type="text" name="phone1_city" id="phone1_city" value="" class="strip_to_integer move_to_next_on_maxlength" size="3" maxlength="3"> -
435                                          <input type="text" name="phone1_surn" id="phone1_surn" value="" class="strip_to_integer move_to_next_on_maxlength" size="4" maxlength="4">
436                                        </td>
437                                        <td class="warning"></td>
438                                      </tr>
439                                      <tr>
440                                        <td class="right">
441                                          <select name="phone2_type"><option value="Cell">Cell</option><option value="Home">Home</option><option value="Parent-Work">Parent-Work</option><option value="Parent-Cell" selected="selected">Parent-Cell</option><option value="Work">Work</option><option value="Extra">Extra</option><option value="null">None</option></select>
442                                        </td>
443                                        <td class="left">
444                                          (<input type="text" name="phone2_area" id="phone2_area" value="" class="strip_to_integer move_to_next_on_maxlength" size="3" maxlength="3">)
445                                          <input type="text" name="phone2_city" id="phone2_city" value="" class="strip_to_integer move_to_next_on_maxlength" size="3" maxlength="3"> -
446                                          <input type="text" name="phone2_surn" id="phone2_surn" value="" class="strip_to_integer move_to_next_on_maxlength" size="4" maxlength="4">
447                                        </td>
448                                        <td class="warning"></td>
449                                      </tr>
450                                      <tr>
451                                        <td class="right">
452                                          <select name="phone3_type"><option value="Cell">Cell</option><option value="Home" selected="selected">Home</option><option value="Parent-Work">Parent-Work</option><option value="Parent-Cell">Parent-Cell</option><option value="Work">Work</option><option value="Extra">Extra</option><option value="null">None</option></select>
453                                        </td>
454                                        <td class="left">
455                                          (<input type="text" name="phone3_area" id="phone3_area" value="" class="strip_to_integer move_to_next_on_maxlength" size="3" maxlength="3">)
456                                          <input type="text" name="phone3_city" id="phone3_city" value="" class="strip_to_integer move_to_next_on_maxlength" size="3" maxlength="3"> -
457                                          <input type="text" name="phone3_surn" id="phone3_surn" value="" class="strip_to_integer move_to_next_on_maxlength" size="4" maxlength="4">
458                                        </td>
459                                        <td class="warning"></td>
460                                      </tr>
461                                      <tr>
462                                        <td class="right">
463                                          <select name="phone4_type"><option value="Cell">Cell</option><option value="Home">Home</option><option value="Parent-Work" selected="selected">Parent-Work</option><option value="Parent-Cell">Parent-Cell</option><option value="Work">Work</option><option value="Extra">Extra</option><option value="null">None</option></select>
464                                        </td>
465                                        <td class="left">
466                                          (<input type="text" name="phone4_area" id="phone4_area" value="" class="strip_to_integer move_to_next_on_maxlength" size="3" maxlength="3">)
467                                          <input type="text" name="phone4_city" id="phone4_city" value="" class="strip_to_integer move_to_next_on_maxlength" size="3" maxlength="3"> -
468                                          <input type="text" name="phone4_surn" id="phone4_surn" value="" class="strip_to_integer move_to_next_on_maxlength" size="4" maxlength="4">
469                                        </td>
470                                        <td class="warning"></td>
471                                      </tr>
472                                      <tr>
473                                        <td class="right">Parent/Guardian Name: </td>
474                                        <td class="left">
475                                          <input type="text" name="parent_or_guardian_name" id="parent_or_guardian_name" value="">
476                                        </td>
477                                        <td class="warning"></td>
478                                      </tr>
479                                      <tr>
480                                        <th colspan="3"><span class="required">*</span>Center/Location</th>
481                                      </tr>
482                                      <tr>
483                                        <td colspan="3">
484                                          <div id="location_suggestion">&#160;</div>
485                                        </td>
486                                      </tr>
487                                      <tr>
488                                        <td class="right"><span class="required">*</span>Center Name:</td>
489                                        <td class="left"><select name="location" id="location" class="on_change_load_packages"><option value="">Choose a Location</option><option value="19">ADULT/ABB/Parma</option><option value="17">AMHERST</option><option value="18">ATTC</option><option value="1">AVON LAKE</option><option value="2">CLEVELAND-(WEST SIDE ONLY)</option><option value="3">GARFIELD HTS</option><option value="4">LAKEWOOD</option><option value="23">LAKEWOOD HIGH SCHOOL</option><option value="5">LORAIN</option><option value="16">METRO DRIVING SCHOOL</option><option value="6">N. OLMSTED</option><option value="7">N. RIDGEVILLE</option><option value="20">OBERLIN</option><option value="24">ORANGE HIGH SCHOOL -(EUCLID)</option><option value="21">PARMA</option><option value="22">REMEDIAL</option><option value="26">SOUTHERN LOCAL</option><option value="8">STRONGSVILLE</option></select></td>
490                                        <td>
491                                          <div id="location_warning">
492                                            <!-- <strong class="warning">If you are further than 10 miles from this location, then you will be required to meet at the center that you select.</strong> -->
493                                            <strong class="warning">If the city you live in is different than the location you selected, you&#39;ll need to meet at that location.</strong>
494                                            <div id="location_warning_center_address"></div>
495                                          </div>
496                                        </td>
497                                      </tr>
498                                      <tr>
499                                        <td id="load_packages_here_please" colspan="3">&#160;</td>
500                                      </tr>
501                                      <tr>
502                                        <th class="center" colspan="3">
503                                          <div class="center">
504                                            <span class="required">*</span>To prevent malicious spam bots, please add together
505                                            the following numbers into the text area
506                                          </div>
507                                        </th>
508                                      </tr>
509                                      <tr>
510                                        <td class="right">2 + 3 + 1 = </td>
511                                        <td class="left">
512                                          <input type="text" name="captcha" value="">
513                                          <input type="hidden" name="captcha_hidden" value="6">
514                                        </td>
515                                        <td class="warning"></td>
516                                      </tr>
517                                    </table>
518                                    <div class="center"><input type="submit" value="Next &#187;"></div>
519                                  </form>
520                                </div>
521                              </div>
522                            </td>
523                          </tr>
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525                        <!-- Content End -->
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