The registration and payment are two SEPARATE submissions! Please be sure to hit SUBMIT to the left then come back to this page and scroll down to the payment option below. YOU MUST make a payment to be considered for a spot in the class you are requesting.

STEP 1

Student Full Name *

PLEASE NOTE THE 8 HOURS BEHIND THE WHEEL DRIVE TIME IS NOT DONE DURING THE CLASS DAYS. THE 8 HOURS BEHIND THE WHEEL TIME IS SCHEDULED ON SEPARATE DAYS. THE WAIT TIME FOR AFTER SCHOOL AND WEEKENDS IS CURRENTLY 8-12 week average from from class date. ( PHS students, Homeschool and Early Release average is 3-6 weeks)

Enter Class Date

Grade Level *

Temporary Instruction Permit Issue Date *

PLEASE BE AWARE

THE 8 HOURS BEHIND THE WHEEL TIME IS SCHEDULED ON SEPARATE DAYS from the class days. THE WAIT TIME FOR AFTER SCHOOL AND WEEKENDS IS CURRENTLY 8-12 week average from from class time ending. ( Pineville high students, Homeschool and Early Release average is 3-6 weeks)

Physical Address *

Upcoming dates - Sept 18-22nd - Oct 2nd- 6th - Oct 15th-17th ( School break class)

Emergency Contact *

Date of Birth *

Parent E-mail Address *

YOU CAN REGISTER WITHOUT YOUR TIP CARD - BUT MUST HAVE IT TO COME IN AND SIGN PAPERS THE WEEK BEFORE CLASS. (PUT 0'S IN THIS BOX IF YOU DO NOT HAVE IT YET)

Student Cell *

High School Attending *

Parent Name *

Shut Up & Drive 318-445-3237 1612 Military Hwy,Pineville, LA 71360

Parent Cell *

Temporary Instruction Permit Number *

STEP 2

Registration for 38 Hour Course (for under 18 yr olds)

READ BEFORE REGISTERING

Before filling out the registration for you MUST have a TIP (temporary instruction permit) this can be obtained from the DMV. You can refer to the "HOME" page for the info needed to obtain the TIP. (DUE TO COVID-19 WE ARE ALLOWING PRE REGISTRATION WITHOUT TIP BUT YOU MUST HAVE IT BEFORE COMING INTO THE OFFICE TO SIGN PAPERWORK.)
The class is $375.00 total. To reserve a spot a minimum of $125.00 (non refundable deposit) must be paid during registration. You will need to fill out the registration and be sure to hit "Submit" at the bottom of the form. Once you have done that please come back to this registration page and scroll to the bottom for the payment options. You DO NOT need a PayPal account to pay with our PayPal button.
TO GUARANTEE your spot in the class you are requesting you must complete the registration process. The registration process consist of Registering, Paying the full amount, Bringing in Original Birth Certificate, Bringing in TIP card and the Student and Legal Guardian must come in to sign documents and go over parent orientation. All of this MUST be done the week before class starts. Example: If the class starts on Monday July 20nd, you must have all of this completed BY THURSDAY JULY 16TH. (PLEASE CALL BEFORE COMING IN)
Legal Custodial/Domiciliary Parent/Guardian Driver's License or ID Card is required.

*The $125 deposit is non-refundable.

Registration​ for 38 Hour Course (for under 18 yr olds)

Registration for 38 Hour Course (for under 18 yr olds)