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				Register Online Personal Details Student's Full Name (First Middle Last):* Date of Birth:* Street Address:* City/Town:* State:* ZIP:* Phone Number #1:* Phone Number #2: Phone Number #3: E-mail Address:* Program Information Please select the segment you'd like to register for: Segment One Location:* Segment One Class Dates:* Segment Two Location:* Segment Two Class Dates:* Comments/Questions Comments: This* indicates mandatory fields that must be filled-in.

Resources:

State of Michigan
Michigan State Police
Michigan Department of Motor Vehicles

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