Full Legal Name:
Date of Birth:    Age:     Sex:
School:     Grade:
Mailing Address:
City:     State:   Zip:
Parent/Guardian Name:
*We must have the parent's last name if different from student's.
Home Phone:        Parent Cell/Pager:
Student Phone: Parent Work Phone:
E-Mail Address:
Class Session:   <-----Please Select a Class Session-----> Sept. 3/4, Fri., 5PM to 9PM; Sat., 9AM to 3PM. Sept. 18/20, Sat., 9AM to 3PM; Mon., 5PM to 9PM.

Important registration information:

Registration begins 15 minutes before the start of the first day of class. Payment in full is due at that time. We accept in state checks only, cash or money orders. Please make checks payable to the academy you are attending. A parent or guardian MUST come into the academy and sign the student in at this time.

Location:

Putnam City Driving Academy is located on the south side of Northwest Expressway between Rockwell and MacArthur Blvd. in Peppertree Square behind Auto Zone.