Are you 15, 16 or 17 as of class date? Check for YES

Student Date Of Birth

Does the student have any physical, visual, or mental handicap the School or instructor should be aware of, for the safety of the student? i.e. SEIZURES, EPILEPSY, DIABETES, ETC. Check for NO

Do you possess a Valid SC Beginner's Permit from SC Dept of Motor Vehicle. Check for YES

Enter your SC Beginners Permit Number (Red Starts with DL#)

Image of Beginner's Permit - Choose File locally, "CLICK TO UPLOAD" link and a new (unique) file name will appear next to label text.

Beginner's Permit File

Student Street Address

City

State

Zip Code

Parent Full Name

Parent's Email Address