Frys Driving School

Registration Form
Behind- the- Wheel Driving Instruction
Requirements for Behind- the- Wheel Instruction.
A license or permit
Currently enrolled or have completed a Penna. Dept of Ed. Approved 30
Hour classroom theory course.
Enclosed the registration fee of $250.00 for six hours of instruction.
(Cash, Check or money order made out to Frys Driving school )

Please complete the following information.

Name:_______________________________________________________
Date of Birth:__________________________________________________
Age:________
Home Address:________________________________________________
Phone Number:________________________________________________
Email Address:________________________________________________
License Number:____________________Permit Number:________________
Permit Expiration Date:_______________Test Eligibility Date:_____________
Parent/Guardian Name:__________________________________________
30 Hour Classroom Theory Course: ( Circle one ) Enrolled or Completed
Student Signature:__________________________Date:________________
Parents Signature:__________________________Date:________________

Please mail to:

Frys Driving School
835 Mandy Lane
Camp Hill , Pa 17011
(717) 443-2680