New Student Lesson - Preference Sheet
In an effort to create the best experience for your driving lessons, please fill our the preference sheet below and submit it to our office. We will be in touch to schedule your lessons within 5 days of submitting this form.  
Email *
Your Name *
Student Name *
Passed initial Permit Knowledge Exam? *
Required
If 17 or older, does the student possess a Drivers Permit? *
Required
Student birthdate *
Parent/Guardian 
Phone number
 *
Which time of the day will work best for driving lessons?
Clear selection
Upon completion of the Special Learner's Permit  process (completion of driving lessons), we will validate the student permit and set the road test date for driver's license. Please select road test location. 
Which days of the week will work best for driving lessons?
Clear selection
Are there any specific days of the week that will NOT work for lessons?
What month would you prefer driving lessons?
Do your have a preference between male and female instructor?
Clear selection
Instructor Request: Is there a Five Star instructor that you would like to schedule lessons? Please type instructors name below:
Special Concerns: If you have any specific concerns about driving lessons please type them below:
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