ON-LINE REGISTRATION

We're honored every time a new student has chosen Street Smarts of Maryland to
become their driving instructors.   Your choice of a driving school shows a lot about your
character and your level of maturity.   It shows that you truly care about receiving the best
possible level of classroom and on-the-road instruction from our professional staff of
instructors.    It also shows that you desire to become the best new driver that you can
possibly be.
To sign up for a session of our Street Smarts Driving Academy, please do the following:

1)  Complete the on-line reservation form or download our registration form.

2)  If completing your registration on-line, enter the information and hit "submit."   

3)  After hitting "submit", you will be re-directed to another page which will highlight the information that
you provided.  Please print this page for your records and submit one copy with your payment.

4)  
TO PAY BY CREDIT CARD:   Please contact our office at (443) 355-4238.

5)
 TO PAY BY CHECK:   Please make your check payable to "Street Smarts of Maryland" and mail  
      it to the below listed address.   Please contact our office to inquire about special rates and payment   
      arrangements.

6)  You are now enrolled in our class.  Welcome!!
STREET SMARTS OF MARYLAND
A Professional Driving Academy
443-355-4238
Approved and Certified by the
Maryland Motor Vehicle
Administration
(Name as it appears on your birth certificate)

FIRST NAME
MIDDLE NAME

SUFFIX:
(Jr, Sr)
LAST NAME
STUDENT
BIRTH-DATE
ex:  06/16/1964
ADDRESS:
CITY:
STATE:
ZIP:
HOME PHONE:
CELL PHONE:
PARENT EMAIL ADDRESS:
HOME SCHOOL:
PARENT / SPONSOR NAME:
TYPE OF CLASS REQUESTED
REQUESTED CLASS DATE
COURSE LOCATION:
DOES STUDENT HAVE A   

LEARNER'S PERMIT?
STREET SMARTS OF MARYLAND, INC.
4521 Tulip Way * Ellicott City, MD 21043   
(443) 355-4238 office    (410) 696-2831 (fax)
email:  StreetSmartsMD@comcast.net