Hands-On Driver Training Registration Form
Please complete the form below to register for the class scheduled for:
CLASSES FOR 2025: Dec. 6 CLASSES FOR 2026: Jan. 10, Feb. 7, Apr. 4, May 2. Jun. 6, Jul. 11
@ 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:
December 6, 2025
January 10, 2026
February 7, 2026
April 4, 2026
May 2, 2026
June 6, 2026
July 11, 2026
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/Road Test: $310.00 ($330.00 Effective 1/1/2026)
Other Service Selections:
Road Test Only: $50.00 ($60.00 Effective 1/1/2026)
Point Reduction: $100.00 ($120.00 Effective 1/1/2026)
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: