Easy Method Driver Training School, Inc.

Pre-Registration form: Practical Behind the Wheel lesson(s)

Easy Method follows CDC compliance as required for the safety, health, and security of student and teacher. Personal face protections are optional and PA learner permit is required for each lesson.

Please complete our easy form and submit. Easy Method will contact you to schedule lesson(s) and finalize payment method.

Thank you

(Form Content / All Rights Reserved)

Today's Date * / MM / DD YYYY
What area do you live in? (Example: Oakland) *
Name * First Last
Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home is the primary pick-up location. If another location is requested, it must be within a reasonable distance from your home.
Age *
Home Phone - ### - ### ####
Cell Phone * - ### - ### ####
Other - ### - ### ####
Email *
Did you complete a 30 hour driver theory course? *
Yes No Practical Classroom Online Program Recieved Certificate Comment:
If you completed a 30 hour driver education theory course, please indicate where and when in comment section.
Pennsylvania Permit / License Expiration Date * / MM / DD YYYY
If Applicable, what State or Country do you hold a Permit or license?
How many hours driving experience do you have? *

This includes any type of driving experience behind the wheel.
What is your driving experience? Please check appropriate boxes. *
Beginner Parking Lot Local Driving Secondary Roads Interstate / Highway Parallel Parking Inline Parking Lane Changing / Merging Comments:
This helps certified instructor baseline your driving skill set and screen experience to develop a tentative lesson plan prior to starting program.
Driving Skills Improvement
Test Preparation Driver Skills Evaluation Parallel Parking Reverse / Backing Up Inline Parking Lane Change / Merging Secondary Roads Highway / Interstate Other
Check skills for improvement.
When is the first date you are available? / MM / DD YYYY
When are you Available? *
Morning Afternoon Evening Weekends Flexible Other
Pick up / Drop off Location *
Home Work High School University Enter Address if other than Home:
High School / University / Work

Let us know the name of your High School, University or Work.
If applicable, which Location did you book your test?
Penn Hills New Kensington Allison Park Bridgeville Washington, PA
Use of EMDTS car for test requires a minimum of 1 lesson to determine preparedness for DMV drivers test. A separate fee is assessed for a Road Test depending on DMV test center.
DMV Test Date / MM / DD YYYY
DMV Test Time : HH MM AM/PM
Note: Credit Cards are not accepted online.

Services/Pricing:
Cash Payment is $5.00 off each single Lesson or $20.00 Off on package of 4x lessons.
*
Single 90-Minute Lesson: Credit Card, Check, or M.O. [$145.00] or Cash Payment ($140.00) 4x/90-Minute Lesson Package (6 Hours) W/ Insurance Certificate: Credit Card, Check, or M.O. [$580.00] or Cash Payment ($560.00) PA Road Test: Credit Card, Check, or M.O. [$200.00] or Cash Payment ($175.00) / (Requires a minimum of 1 Behind the Wheel lesson to determine test preparedness)
We do not take Credit Cards online, EMDTS will contact you for payment method, finalize your registration, assign instructor, and set date/time for lesson appointment(s).
Comments:
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