S&B's Summer Sessions A & B will begin on Monday, May 19th or Wednesday, June 4th  
with parent meetings on Wednesday, May 14 at 6:30 p.m. or Sunday, June 1 at 6:00 p.m.  
The driving portion of the Summer Sessions may be completed throughout the months of  
May, June or July.  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)


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

Summer Sessions - May, June and July

Fall Session - August, September and October

Winter Session - November, December and January