Enrollment Form Please enable JavaScript in your browser to complete this form.Student Name *FirstMiddleLastDate of Birth *Student Phone Number *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)FirstLastParent Phone Number (Only under 18) Parent Email (Only under 18)Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeGender *MaleFemaleYour Age *Teen (Below 18)Adult (Above 18)Do You Have Valid Virginia Learner’s Permit? *YesNoPreferred Days *N/AMondayTuesdayWednesdayThursdayFridaySaturdaySelect N/A – for In-person or Online classes.Time Preference *Any time worksN/ASpecific timeSelect N/A – for In-person or Online classes.Preferred “Start” Time *NOTE: FALL SCHEDULE IN EFFECT: ALL CLASSES MUST END BY 5 PM. We will try to accommodate with the preferred availability. However, please note we will send you a tentative schedule. Preferred “End” Time *NOTE: FALL SCHEDULE IN EFFECT: ALL CLASSES MUST END BY 5 PM. We will try to accommodate with the preferred availability. However, please note we will send you a tentative schedule. High School Name *State N/A if not applicableHave you completed a Driver’s Education Course? *YesNoIf you are under the age of 18, please confirm that you have completed at least 45-hours of driving practice. *YesNoIf 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. *YesNoSelect Courses *— Select Choice —Experienced Teenager: Behind The Wheel Under 18 ONLY: $325BUNDLE: Experienced (Under 18 ONLY) 30 Hour Driver’s Education + 7 Days – Behind The Wheel: $499BUNDLE: (Under 18 ONLY) PLUS Package – 30 Hour Driver’s Education + 10 Days – Behind The Wheel: $750BUNDLE: Experienced (Over 18 ONLY) Adult Waiver – 30 Hour Driver’s Education + Behind The Wheel: $599Teen Behind The Wheel PLUS Package Under 18 ONLY: $60045-Hours PLUS Behind The Wheel Package ONLY: $220060 Min Class: $10020 Lessons, 1 Hour EACH: $180015 Lessons, 1 Hour EACH: $135010 Lessons, 1 Hour EACH: $9507 Lessons, 1 Hour EACH: $6655 Lessons, 1 Hour EACH: $4753 Lessons, 1 Hour EACH: $285Adult Waiver Course (18 and Over ONLY): $4508 – Hours (ONLINE) Driver Manual (Failed 3 times) for Learner Permit: $1508 – Hours (CLASSROOM) Driver Manual (Failed 3 times) for Learner Permit: $300Re-examination Course (3 times road test fail at the DMV) Course Behind the Wheel: $500Driver Education 30- Hours Online for Teen / Adults: $1508- Hours Online Driver Improvement Course: $49.998- Hours Classroom (In-Person) Driver Improvement Course: $95.00DMV Appointment Road test: $4507 Days Driving Refresher Course: $500CLASSROOM: Driver Improvement Clinic *— Select Choice —March 29, 2026 – 9 AM to 5 PMApril 18, 2026 – 9 AM to 5 PMMay 03, 2026 – 9 AM to 5 PM that Preferred a CLASSROOM: 3X Failure Driver Manual (Failed 3 times) for Learner Permit *— Select Choice —March 28, 2026 – 9 AM to 5 PMApril 19, 2026 – 9 AM to 5 PMMay 02, 2026 – 9 AM to 5 PMDMV Reason Code *— Select Choice —Court OrderedCourt Ordered + Points AllowedTaking Class By ChoiceDMV RequiredInsuranceDriver Improvement Completion Deadline (Court or DMV)Payment Method *Credit CardWe 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 (If you do not have the requested, kindly please attach a Photo ID – Example: School ID or Military ID) * Drag & Drop Files, Choose Files to Upload Please upload a copy of your Driver’s License or Learner’s Permit. STEPS: 1. Place the Learner’s Permit or Driver’s License on a FLAT surface. 2. PLEASE DO NOT use a flash to take picture. Custom Captcha *What is 5+7? Register Now