BlueSlip

Online Class Start Date*

STUDENT LEGAL NAME - as appears on their Birth Certificate!*

First Middle Last

STUDENT DATE OF BIRTH*

Address to Mail Blue Slip to*

Street Address (include apartment number if needed) City State Zip Code

Email*

Enter Email Confirm Email

PERMIT TEST*

Yes, I am testing at www.MNPermitTest.com in White Bear Lake and will pick up my blue slip in-person on the day of my test.
No, I'm testing elsewhere and want my blue slip mailed.

If you plan to test at the office, schedule at: www.MNPermitTest.com In this case, we will issue the blue slip to you in-person when you arrive for the test.

Parent Signature*

First Last

1. I certify that the information entered above is correct.

2. I understand that if the fields above are not completed correctly, it may affect the student's permit exam.

3. The blue slip will be mailed after the class session has ended.

4. We would suggest not scheduling the permit exam until at least 1 week after the class session ends. (Do not schedule the permit exam for the day after class ends as you will not have received the blue slip.)

To help us avoid SPAM, What is 3+4=*

Please enter a number from 7 to 7.