(856) 235-7333 info@southjerseydrivingschool.com 300 Chester Ave. Suite 206 | Moorestown, NJ 08057

Home
About Us
- About Us
Services
Blog
PRACTICE TEST
Schedule Your Road Test
Testimonials
Resources
Contact
Enroll

Home
About Us
- About Us
Services
Blog
PRACTICE TEST
Schedule Your Road Test
Testimonials
Resources
Contact
Enroll

Registration

Student Name(Required)

First Last

Student Phone(Required)

Student Email(Required)

Address(Required)

Street Address City State ZIP Code

Driver's License #(Required)

This # is located above your name on your permit. It begins with the first letter of your last name and is followed by 15 digits in black ink.

Validation #:(Required)

This is a 5-digit hand-written number located on the bottom portion of your permit.

Student Birthday(Required)

Month

Day

Year

Gender(Required)

Are you currently in High School?(Required)

Yes

No

High School

Do you have a road test scheduled?(Required)

Yes

No

Date

Month

Day

Year

Time

Hours

:

Minutes

Road Test Location

Parent/Alternate Name(Required)

First Last

Parent/Alternate Email

Parent/Alternate Phone

Additional Details/Comments?

Please provide any information that would help us get to know you so that we can make your driving school experience first-rate. For example: Do you have any health issues such as anxiety, diabetes, disabilities of any kind?

How did you hear about us?(Required)

Driving Programs

Please select a program:

Advanced *BEST VALUE* Six, 2-hours lessons = 12 hours ($795.00)
This comprehensive program includes all beginning driving skills as well as additional advanced training in highway driving. After this advanced course, students should have the confidence needed to pass the road test and eventually drive without a supervised driver.

Intermediate - Five, 2-hour lessons = 10 hours ($700.00)
Our basic program PLUS an additional 4 hours to smooth out any rough areas plus concentration on advanced skills including highway driving.

Three, 2- hour lessons = 6 hours ($425.00)

Two, 2-hour lessons = 4 hours ($300.00)

One, 2-hour lesson ($150.00)

Other Services

Please note that these services are payable on the day of the service. Deposits will not be applied towards these options. * Please contact our office about rates for pickup from home*

Please note that these services are payable on the day of the service. Deposits will not be applied towards these options.

* Please contact our office about rates for pickup from home*

Combo Lesson - 1 hour review lesson immediately followed by Road Test $195 (cash only - Meet at our office or MVC Testing Center)

Stick Shift Lessons - $195

Road Test Service, Cherry Hill or Delanco - $120

Please note that these services are payable on the day of the service. Deposits will not be applied towards these options. * Please contact our office about rates for pickup from home*

Please note that these services are payable on the day of the service. Deposits will not be applied towards these options.

* Please contact our office about rates for pickup from home*

Combo Lesson - 1 hour review lesson immediately followed by Road Test $195 (cash only - Meet at our office or MVC Testing Center)

Stick Shift Lessons - $195

Road Test Service, Cherry Hill or Delanco - $145.00

Pay Now or Later

Please select "Pay Later" if you are ONLY selecting Cash Only services.

Pay Deposit

Pay Later

Deposit(Required)

Minimum 150.00

Credit Card Payment Convienence Fee

Price:

Total Due Now

Payment Information

Does your student information match your billing information?

Yes

No

Billing Name

First Last

Billing Phone

Billing Email

Billing Address

Street Address Address Line 2 City State ZIP Code

Credit Card

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number

Month Year Expiration Date

Security Code Cardholder Name

Important Information

As the student, I certify that all statements are true.(Required)

As the student, I certify that all statements are true.

I allow the use of photos of myself/the student in social media, website, and print material for South Jersey Driving School, Inc.

I allow the use of photos of myself/the student in social media, website, and print material for South Jersey Driving School, Inc.

Total

Copyright © 2018, South Jersey Driving School, Inc. All Rights Reserved. Website Design By: Driving School Marketing

Contact Us

We can't wait to tell you about our program. Send us an email and we'll get back to you ASAP!

Not readable? Change text.

I consent to South Jersey Driving School collecting my details through this form.