TEST Parent or Guardian * Do you have an email address? * Yes No Email (We will use this to send you a copy of the registration for class) * Son/Daughter ( If Adult Please Just type Adult ) * As it appears on Permit Payment Method * CashPersonal CheckOnline Class Choice * Written Permit TestGold Package (8 Hours online Classes, 6 hours behind wheel and SC Road Test)In Class Instruction ( 8 Hours )Behind the Wheel ( 6 Hours )In Class Instruction and Behind the WheelRoad TestIn Class Instruction, Behind the Wheel and Third Party Road TestCopy Of CertificateAdult Class Per Hour (Minimum of 6 Hours) Insurance Discount (Dependent on insurance provider) applies only if you take both Classroom and Behind the Wheel Classes. Class Date Choice * July 21, 2024August 4, 2024August 18, 2024September 1, 2024September 15, 2024October 6, 2024October 20, 2024November 3, 2024November 17, 2024December 1, 2024December 15, 2024----------2025----------January 5, 2025January 19, 2025February 2, 2025February 16, 2025March 2, 2025March 16, 2025April 6, 2025April 20, 2025May 4, 2025May 18, 2025June 1, 2025June 15, 2025July 6, 2025July 20, 2025August 3, 2025August 17, 2025September 7, 2025September 21, 2025October 5, 2025November 2, 2025November 16, 2025December 7, 2025December 21, 2025 Student Name * As Appears on Permit Date of Birth * Permit or License Number * Issue Date * Student Address * Student Phone Number * Cell Phone Number If no cell number is available please put N/A in this field. Vehicle Acknowledgement * I acknowledge and understand that students will be driving a Ford Taurus, Ford Focus, Ford Fiesta or a Toyota Scion that is an automatic and has an instructor brake on the passenger side. Student Signature * By placing your name in this text box you understand that this is your binding signature. Parent/Guardian Signature * By placing your name in this text box you understand that this is your binding signature. Captcha If you are human, leave this field blank.