Enroll – Blackstone Driving School

Enrollment Form

Student Name *

First

Middle

Last

Contact Cell Phone *

Contact Email Address *

Private lesson confirmations will be emailed within 48 hours. Behind-the-Wheel students will receive confirmation after groups are assigned for 7 periods—50 mins of driving and 50 mins of observation per day.

Parent Name (Only under 18)

Parent Phone Number (Only under 18)

Parent Email (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? *

Availability *

Not Applicable for In-Person Class

High School Name *

State N/A if not applicable

Have you completed a Driver's Education Course? *

Do should you

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. *

Select Courses *

Payment Method *

We do not accept Cash or Check.

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.

Driver's License/Learner's Permit *

Click or drag a file to this area to upload.

Please upload a copy of your Driver’s License or Learner’s Permit

Custom Captcha *

What is 5+7?