Hands-On Driver Training Registration Form
Please complete the form below to register for the class scheduled for:
CLASSES FOR 2025: July 12, Aug. 2, Sept. 6, Oct. 4, Nov. 1, Dec. 6
@ Holiday Inn 139 Bradford Blvd, Santee, SC 29142
Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select Driver Training/Class Date:
July 12, 2025
August 2, 2025
September 6, 2025
October 4, 2025
November 1, 2025
December 6, 2025
Beginner's Permit #
Type number above
How long have you had your permit?
Enter the approximate number of months.
Date of Birth
-
Month
-
Day
Year
DOB
Email Address
example@example.com
Home Phone Number
-
Area Code
Phone Number
Student Cell Number
-
Area Code
Phone Number
Texting Available?
YES
NO
Select One
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Cell#
-
Area Code
Phone Number
Select a Training Package:
Classroom/Behind-the-Wheel Training: $295.00
Classroom/Behind-the-Wheel Training/Road Test: $310.00
Other Service Selections:
Road Test Only: $50.00
Point Reduction: $100.00
Behind-the-Wheel Only: $60.00
Today's Date
-
Month
-
Day
Year
Date
Student Signature
*
Student Signature
Parent/Guardian Signature (if trainee is under 18)
Submit
Clear Form
Print Form
Should be Empty: