In-Person Class Registration

In-Person Class Registration

Register for Mesilla Driving Academy, acknowledge policies, and select your payment arrangement.
Select Class Dates
Student’s Legal Name (Last Name, First Name)*

First NameLast Name
Age*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Contact Number (Text Preferred)*
Please enter a valid phone number.
Parent/Guardian Alternate Number
Please enter a valid phone number.
Parent/Guardian Email Address*
example@example.com
Student’s Contact Number
Please enter a valid phone number.
Student’s Email Address
example@example.com
How did hear about us?
Please select

GoogleSocial MediaGreen Chamber of Las CrucesCruces CultureFriends/FamilyOther
Name of friend or family member we can thank for referring you to us?
Please upload a copy of the student’s birth certificate (you may redact all but name, date of birth, and sex).*

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Within 24 hours you will be emailed Registration Forms to fill out and make payment. Student's seat is reserved only after payment is made. Seats fill up quickly. Prompt payment is suggested. Your payment options will be listed on the Registration Forms.
Payment Method

Pay Cash/Check by Appointment
Payment Arrangement

Full PaymentTwo Half Payments
Preferred Payment Method
Should be Empty:

How did hear about us?