Registration for 6 Hours Behind-the-Wheel Instruction for Adult Drivers

You must have your learner's permit or driver's license before registering.

Student Name *

First

Middle

Last

(As it appears on license)

Student's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Student's Date of Birth *

Student's Phone # *

Enter a valid phone number for the instructor to contact you to schedule driving lessons.

Student's Email *

An invoice for payment will be sent to this email address.

Learner's Permit/Driver's License Number and State *

A valid, unexpired Learner's Permit/Driver's License is required

Permit/License Picture *

Drag & Drop Files, Choose Files to Upload

You must upload a picture of your license/permit

Responsible Party Name (Required if Under 18)

First

Last

Responsible Party Phone #

Responsible Party Email

If this information is included, the invoice for payment will be sent to this email address and the student's email address.

Checkboxes *

I acknowledge that I have read and agree to the policies listed on our Policies Page

Driving Lesson Location *

Request Home Pickup for Lessons ($25 fee added, subject to location limitations)
Meet instructor at BDS Benson Location (106 W Main St. Benson, NC)
Meet instructor at BDS Holly Springs Location (114 Hyannis Dr. Holly Springs, NC)
Meet instructor at BDS Sanford Location (283 Harvey Faulk Rd. Sanford, NC)

Driving Lessons will start and end at the location selected. If you requested Home Pickup and your address is outside of our typical service area, we will contact you prior to sending your invoice.

Comments

Anything we should know: Your driving history, a reason for signing up, specific challenges you have had, etc. Special requests entered here are subject to Benson Driving School's discretion.

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