Please fill out the form below or call our office to set up your registration meeting. The meeting includes a parent meeting, vision test and/or MVC knowledge test. The written and vision test are administered on Tuesday, Wednesday & Thursday in our Moorestown office. For your convenience we have both day and evening hours. A parent or guardian must attend. You will need to bring the following to your meeting: Student’s original, civil U.S. birth certificate OR valid, U.S. signed passport Copy of Student’s Social Security Card Graded Test Score Card (if written test was passed in school) Registration Fee of $75 (payable to South Jersey Driving School) Requirements Acceptance(Required) I understand the requirements for registration. Student Information Student Name(Required) First Last Student Phone(Required)Student Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Student Birthday(Required) MM slash DD slash YYYY Gender High School(Required) Do you wear glasses or contacts?(Required) Glasses Contacts Both None Have you passed your written test in school?(Required) Yes No Have you scheduled your registration appointment? (If you do not have one, please call the office to schedule an appointment.) Yes No Date MM slash DD slash YYYY Time Hours : Minutes AMPM Parent/Alternate Name(Required) First Last Parent/Alternate Email Parent/Alternate Phone(Required) Driving Programs Please select a driving program:(Required) Advanced: 12 Hours of Behind the Wheel – 6 Lessons ( $795.00 ) Intermediate: 10 Hours of Behind the Wheel – 5 Lessons ( $675.00 ) Basic: 6 Hours of Behind the Wheel – 3 Lessons ( $375.00 ) CASH ONLY Services Please note that these services are CASH ONLY and payable on the day of the service. Road Test Service, Cherry Hill or Delanco ( $120.00 ) Agreement and Permissions As the student, I certify all statements are true(Required) As the student, I certify that all statements are true. As the Parent/Guardian, I hereby give full consent for the student to participate in Behind the Wheel instruction with a South Jersey Driving School, Inc. licensed, trained driving instructor.(Required) As the Parent/Guardian, I hereby give full consent for the student to participate in Behind the Wheel instruction with a South Jersey Driving School, Inc. licensed, trained driving instructor. Untitled I allow the use of photos of myself/the student in social media, website, and print material for South Jersey Driving School, Inc. Additional Details/Comments?Please provide any information that would help us know your situation, including if you already have your permit to drive. If so, please provide the date, time, and location of your appointment.How did you hear about us?GoogleFacebookFriendFamily MemberSchoolInternetSaw a South Jersey Driving School CarNews Article / CommercialBurlington County Chamber of CommerceOtherOther CommentsThis field is for validation purposes and should be left unchanged.