Teen Classroom Registration | T&D Driving Academy
Fill out all required fields and hit submit.
Only open classroom sections are shown below. If a class has filled or closed, it will not appear in the list.
Class Selection
Available Classroom Section
*
-- Select an available classroom section --
Transfer-teen (14 hour instructional in car phase only) — T.00.2026 — Starts January 1, 2026
August 24th, 2026 — T.09.2026 — Starts August 24, 2026 / Ends September 10, 2026
September 21st, 2026 — T.10.2026 — Starts September 21, 2026 / Ends October 8, 2026
October 26th, 2026 — T.11.2026 — Starts October 26, 2026 / Ends November 12, 2026
November 23rd, 2026 — T.12.2026 — Starts November 23, 2026 / Ends December 10, 2026
Once a section is capped by the office, parents will no longer be able to select it here.
Student Basics
First Name
*
Middle Name
Last Name
*
Date of Birth
*
Used for DL-14B and copied to contract_dob automatically.
Sex
*
Male
Female
License / Permit #, if available
Contact
Student Email
*
Student Phone
*
Parent Home Phone
Parent Cell Phone
*
Notes, Questions, or Scheduling Concerns
DL-14B: Identity & Physical
SSN first (3)
SSN middle (2)
SSN last (4)
Weight
Height (ft)
Height (in)
Eye Color
Blue
Brown
Green
Hazel
Gray
Black
Other
If Other:
Hair Color
Black
Brown
Blonde
Red
Gray
Bald
White
Other
If Other:
DL-14B: Birthplace & Parents
Birth City
Birth State
Birth County
Birth Country
Father Last Name
Mother Maiden Name
DL-14B: Residence Address
Street
*
City
*
State
*
ZIP
*
County
DL-14B: Mailing Address, if different
Mail Street
Mail City
Mail State
Mail ZIP
Mail County
DL-14B: Race & Ethnicity
Race
White
Black / African American
Asian
American Indian / Alaska Native
Other
If Other:
Ethnicity
Hispanic / Latino
Not Hispanic / Latino
Unknown
Verified Enrollment Signature
By completing this section, the parent/legal guardian, or the adult student of 18 or older, verifies intent to enroll and authorizes T&D Driving Academy to prepare the enrollment contract PDF. The terms are not binding until all parties agree, sign, and payment is remitted.
Contract Signed By
*
-- Select who is signing --
Parent / Legal Guardian
Student age 18 or older
Signer Initials
*
These initials may be placed in the contract fields that require acknowledgment.
Verified Signature Name
*
Type the signer’s full name exactly as it should appear on the enrollment contract.
Signature Preview:
Signature will appear here
Initials Preview:
—
I verify that I am the person named above and that this typed name and initials may be used as my electronic signature/acknowledgment for enrollment paperwork.
Clear
Submit
