Skills (Road) Testing Registration

Please submit the form below and our office will contact you to set up your test.
If under 17 years of age, must show proof completed driver education.
All drivers, regardless of age, must have held their original beginner's permit a minimum of 180 days before testing.

Student Information

First name*

Middle Name

Last name*

Goes by?

Street Address*

Apt

City*

State*

Zipcode*

Student Email*

Student Phone*

Birthdate*

SC Permit/License #

Permit/License Issue Date

Gender*

Emergency Contact Information

Contact #1 Name

Contact #1 Phone

Contact #2 Name

Contact #2 Phone

Printed Signature