Hoffman Auto School Registration Page

Student Information

Please use your full legal name when registering.
Student First Name*
As It Appears on Your Birth Certificate
Student Last Name*
Street Address*
House Number and Street Name (ie 4 Main Street)
Street Address Line 2
Apt Number/Building Number etc.
City*
State*
Zip Code*
Only 5 Digits
Student Date Of Birth*

MonthDayYear
Date
Remember you must be 15 and 9 months before the first day of class otherwise you will need to postpone your attendance.
Student E-mail*

Confirmation EmailAll confirmations and notifications will go to this address
Student Cell (Must be in The Format 1########## ex. 19782419449) or will return an error.*
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.
Do You Have Your Learner's Permit?*

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

MonthDayYear
Date Issued

Classroom Session Selection

Please Choose One
Which Classroom Session Would You Like to Attend?*

September Class # 2 - 9/22 to 9/28 (7 Days)Oct 2024 Class # 1 - Starts 10/5/24 - PM Weekends/Columbus DayOct 2024 Class # 2 - Starts 10/20/24 - Runs 7-Days Sun-SatNov 2024 Class # 1 - Starts 11/10/24 7-Day Sun-Sat Vet DayNov 2024 Class # 2 - Starts 11/17/24 5-Day Accel WeekendsDec 2024 Class - X-mas Break 12/26-12/30
Classroom Session Type*

In-PersonRemote Via Zoom
CLASS/EXCEL SESSION

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 First Name*
Parent Last Name*
Parent Street Address*
Parent Street Address Line 2
City*
State*
Zipcode*
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
Will this location be considered the only "Home" for pickup and drop off purposes?

YesNo
Additional Parent/Guardian Information

Please Fill Out if this is an Alternate Pickup/Drop Off Location for Lessons.
Parent 2-First Name
Parent-2 Last Name
Parent 2-Street Address
Parent 2-Street Address Line 2
Parent 2-City
Parent 2-State
Parent 2-Zipcode
Parent 2/Guardian-Phone Number
Please enter a valid phone number.
Parent 2/Guardian-Email
Parent 2 Phone Number
Please enter a valid phone number.
Parent 2 Email
example@example.com
Classroom Session*
Please verify that you are human*
Should be Empty:

Student Information

Remember you must be 15 and 9 months before the first day of class otherwise you will need to postpone your attendance.

Classroom Session Selection

School Information

Student Medical / Accommodations / Restrictions

Parent/Guardian Contact Information

Parent/Guardian Information

Additional Parent/Guardian Information