Enroll – Blackstone Driving School

Enrollment Form

Student Name *

First

Middle

Last

Student Cell Phone *

Student's Email Address *

Parent Name (Only under 18)

Parent Phone Number (Only under 18)

Street Address *

Apt#

City *

State *

Zip Code *

Gender *

Male
Female

Your Age *

Teen (Below 18)
Adult (Above 18)

Do You Have Valid Virginia Learner's Permit? *

Have you completed a Driver's Education Course? *

If you are under the age of 18, please confirm that you have completed at least 45-hours of driving practice. *

If you are of age 18 years or older, please confirm that you have completed 20-plus hours of in-car driving practice, with both highway and city experience. *

Address know? Parent

Select Courses *

Payment Method *

NOTE: BEFORE SUBMITTING FORM READ IMPORTANT NOTES BELOW CAREFULLY.

Anything else we should know?

If you are not sure about your skill level, we offer assessments and private driving lessons to help gauge skill levels and to teach students how to drive before they begin their Behind the Wheel Instruction. For more information, you can visit the respective pages on this site, or contact us directly.

Note

If you want to Pay Through Credit Card please continue to complete your transaction on Pay Now.

If you’re going to Pay Through Zelle use (631) 327 – 6131

Once you register online, our instructor will call or text you for the schedule. Thanks.