Pine Springs Preparatory Academy Driver's Ed RegistrationPlease enable JavaScript in your browser to complete this form.Open to all Pine Springs Preparatory Academy students who are at least 14 1/2 years old by the first day of class. Priority in registration will go to: 1) Eligible students of currentĀ PSPA staff members. 2) Eligible students who are current PSPA students. 3). EligibleĀ students of current PSPA families (even if their student does not currently attend PSPA). Classes will be held at Pine Springs Preparatory Academy in Classroom TBD Class Dates are as follows: June 26-30, 2023 - 8:30 AM - 2:30 PM Registration is $550 for Summer 2023. The registration fee includes 30 hrs of classroom instruction and 6 hrs Behind-the-Wheel Instruction. A minimum $100 deposit at the time of registration is required to hold a spot in the class. The remaining balance is due 14 days before the first day of class. Behind-the-Wheel Instruction will take place at a time agreed upon by parent and a Benson Driving School instructor. Behind-the-Wheel Instruction will take place in 3 sessions of 2 hours each. Benson Driving School will provide a licensed instructor and an approved dual-controlled vehicle for instruction.Today's Date *Student Name *FirstMiddleLast(As it appears on birth certificate)Student's Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeStudent's Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student's Phone # *Student's Email *Student's School *Current Grade *8th Grade9th Grade10th Grade11th Grade12th GradeGraduatedGuardian Information will be used for billing and scheduling. Please enter an email address that you check often. Guardian's Name *FirstLastGuardian's Phone # *This phone number will be used to schedule student's driving times and dates.Guardian's Email *This email address will be used to send an invoice (payable online) to complete the student's registration.Checkboxes *I agree to the polices listed on the Policies PageNotes(Optional)SubmitSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link For more information, call Benson Driving School at (919) 802-6072