Registration

Payment For: *

Zip of Billing *

Parent Email: *

Legal Name: *

Parent Tel# *

Payment Amt *

CVC Code *

Please send a copy of your birth certificate to:

Hampshire Driving School LLc

6 Temple St, Nashua NH 03060

CC Exp Date *

Thank you!

Address *

Student Email *

Date of Birth: *

City, State, Zip *

Student Tel# *

Gender: *

• To REGISTER for a CLASS: Use this form.

• To CANCEL class or lesson(s): Call (603) 882-7443 and leave a message.

• For QUESTIONS or to CONTACT the OFFICE please write to:

HampshireDrivingSchool@gmail.com

Credit Card # *

*NOTE: Registration is not assured

until we confirm it with you.

Name on C.Card *

FEES:

• To pay as you go, the total tuition is $725.

(This is payable by a $200. deposit to sign up,

then 3 bi-weekly weekly payments of $175.

after class starts.)

• If full tuition is paid before the first day of

class, the cost is $695. ($30. off!)

• Payment is refundable up to one day before

the class begins, minus a $40. processing fee.

• No refunds after first class.

CLASSES

• To be enrolled, a student must turn 16 before the class ends.

• Students MUST ATTEND THE FIRST CLASS or they will lose their seat with no refund.
• We reserve the right to drop a student from program, for any reason, with or without refund.

*NOTE ABOUT DRIVING LESSONS:

• Students must give HDS a copy of their birth certificate on or before the first class.

• Students must give HDS the blue contract-permission slip signed by their parent/guardian. This is given out on the Parent Night meeting.

• No on-road lessons will be given until we receive both of these requirements.