Hoffman Auto School Registration Page

Driver's Ed. Class Registration

Fill out the form carefully. Please Double Check before submitting.
Student Identification Information

Please use your full legal name when registering.
Student's Full Legal Name*

First NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student Date Of Birth*

MonthDayYear
Date
Will You Be 15 years & 9 Months before the Start of Class?*

YesNoExplain
Student's E-Mail Address*
Student Cell Phone Number*
This Email Address and Cell Phone Number Will Be Used for All Lesson Confirmations and Communications from

Hoffman Auto School
You agree and consent to be contacted by Hoffman Auto School INC., our employees, attorneys, and affiliates through the use of email, and/or telephone calls and/or SMS text messages to your cellular, home or work phone numbers, as well as any other phone number you have provided in conjunction with this registration. By providing your cell phone number, you have provided us with consent to send you text messages in conjunction with the services you have requested. Your cellular provider’s Msg&Data Rates May Apply to our confirmation message and all subsequent messages. You understand the text messages we send may be seen by anyone with access to your phone. Accordingly, you should take steps to safeguard your phone and your text messages if you want them to remain private. NO CONFIDENTIAL INFORMATION SHOULD BE SENT VIA TEXT MESSAGE.
Student E-mail*

Confirmation EmailAll confirmations and notifications will go to this address
Student Phone Number*
All Automated Notifications will be sent to this number.
Do You Have Your Learner's Permit?*

YesNo
Permit Information (If Applicable)
PERMIT NUMBER (USUALLY BEGINS WITH SA#######)
Permit Issue Date

MonthDayYear
Date Issued

Parent/Guardian Contact Information

For Both Emergency and Standard Communications
Parent/Guardian Information

Minimum One Parent/Guardian Information is Required for all students under 18 years of age.
Parent's Name*

First NameLast Name
Parent's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Will this location be an authorized pickup/drop off location? (If Different from Student's Address)

YesNo
Optional: Parent/Guardian #2 Information (Alternate Pickup Location Information)

YesNo
Additional Parent/Guardian Information (Optional)

Please Fill Out if this is an Alternate Pickup/Drop Off Location for Lessons.
Parent 2 Name

First NameLast Name
Parent 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 2 Phone Number
Please enter a valid phone number.
Parent 2 Email
example@example.com
Will this location be an authorized pickup/drop off location? (Alternate Location?) p2

YesNo

Classroom Session Selection

Please Choose One
Classroom Session Month*
Classroom Session Type*

In-PersonRemote Via Zoom
Please verify that you are human*
Should be Empty:

Driver's Ed. Class Registration

Student Identification Information

School Information

Student Medical / Accommodations / Restrictions

Parent/Guardian Contact Information

Parent/Guardian Information

Additional Parent/Guardian Information (Optional)

Classroom Session Selection