Hands-On Driver Training Registration Form
Please complete the form below to register for the class scheduled for:
CLASSES FOR 2026: Oct. 3, Nov. 7, Dec. 5
@ 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:
October 3, 2026
November 7, 2026
December 5, 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
2 digit month, 2 digit day, 4 digit 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 Training/Road Test: $330.00
Other Service Selections:
Road Test Only: $60.00
Point Reduction: $120.00
Behind-the-Wheel Only: $60.00
Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student Signature
*
Student Signature
Parent/Guardian Signature (if trainee is under 18)
Submit
Clear Form
Print Form
Should be Empty: