NDS Registration

Driver's Ed Registration

Please fill out the form below to register for a Driver's Education course.
Course Date *
Student Name *

First Name Middle Initial Last Name
Birth Date *

Month Day Year
Student Email *
example@example.com
Parent Email *
example@example.com
Mailing Address *

Street Address

Street Address Line 2

City State

Zip Code
Student Number *
Parent Number *
High School *
New Student Packet

We will send you a New Student Packet that contains more information about the course, important dates and a few forms for you to fill out. Please select below if you would like to digitally download the packet or if you would like for us to mail it to you.
New Student Packet *

Digital Packet Download Send by Mail
Payment

The total for the course is $575. We require at least a $150 deposit to complete your registration and save your spot in class. You can pay now with PayPal, Credit, or debit card by selecting that option below. You can also opt to pay later if you can't make a payment right now. However, please note your spot in class will not be saved until payment has been received. If you wish to pay with cash or check you can do so at Northeast Driving School. Please call ahead to inform us you are stopping by.
Payment Options *

Pay now with PayPal, Credit or Debit Card Pay with Cash or Check
Payment
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Driver's Ed - Full Payment ($575)
$ 575.00

Driver's Ed - Partial Pay ($400)
$ 400.00

Driver's Ed - Partial Pay ($300)
$ 300.00

Driver's Ed - Partial Pay ($200)
$ 200.00

Driver's Ed - Deposit ($150)
$ 150.00

Total

$ 0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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Driver's Ed Registration