Registration Form

Please fill out the below form and then click the Print Form button to print a copy. You will then need to mail in this form along with your non-refundable registration fee.

Student Information:





Parent / Guardian Information:




Select the session for the location you wish to attend   /  

List any medical/health conditions that may affect the student's driving ability:




I prefer to drive with:




Please indicate your teen's driving experience:



 

Student's tuition cost is $400.00. There is a $100.00 non-refundable registration fee, making the balance of payment $300.00 due on first day of class.