Upstate Driving Academy Registration
Student's Name *
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Permit Number *
Parent/Guardian Name *
Parent/Guardian E-Mail *
Parent/Guardian Phone Number *
Which class date would you like to register for? *
Required
Which course option would you like to register for? *
Option 1 includes class time, behind-the-wheel training, and road test. Option 2 includes only class time and behind-the-wheel training.
Please list at least 4 potential dates for your student to complete their behind-the-wheel training & road test *
9/14 Training/Testing Dates will run from September 15- October 16 (No training/testing dates on Friday's)
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