S&B's Fall Session will begin on Sunday, October 26th with a parent meeting on
Wednesday
, October 22nd at 6:30 p.m.  The driving portion of the Fall Session may be
completed throughout the months of
October, November and December.  Please call
576-SAFE or e-mail us at drive@sbdrivingschool.com for late registration or questions.  

Student Name______________________________        Date of Birth_____/_____/_____
(As it appears on Birth Certificate)

Parent/Guardian__________________________________________________________

Address___________________________________     Home Phone_________________

_________________________________________     Cell Phone___________________

_________________________________________     Email_______________________

Emergency Contact_________________________     Emergency Phone_____________

Name of Nearest Relative___________________________________________________

Medical Conditions________________________________________________________

Driving Group - Please list the names of 1 to 2 students who you would like to drive with during
your behind the wheel training.  If you do not have a preference, leave this section blank and
you will be assigned a group randomly.

1)  _________________________________        2)  ________________________________  

Amount Paid  ___________________        Amount Due    ___________________     
S & B Driving School Registration Form
Please print and mail to 7484 Christina Drive, Suite 102 West Harrison, IN 47060 prior to the
parent meeting.  You may call 576-SAFE if you need to rush register.

Sessions (circle one)     Session Fee due at enrollment - $420.00
               (Includes driver test waiver)

Late Fall Session 2014 - October and November

Winter Session 2014/2015 - December, January and February

Spring Session 2015 - March, April and May