2026 Driver Education Registration

Complete this form to request a seat in an upcoming class. Students must be at least 15 years old by Orientation Day.

Seat reservation: Submitting this form does not reserve a seat. After review and approval, you will receive Registration & Payment instructions. The applicable required payment must be received to reserve the seat.

Registration Received

Your registration was submitted and is now being reviewed.

Once approved, you will receive a Registration & Payment email with the student’s Payment Reference and payment instructions.

Thank you for choosing Grumpas Driving School.

Class Selection

Choose the class you are requesting.

Requested class

Student Information

Provide the student’s legal, contact, school, and licensing information.

Student’s Full Legal Name — First Name, MI, Last Name

Preferred Name (Optional)

Date of Birth

Hair Color

Eye Color

Height — Feet

Height — Inches

Student Weight (lbs)

Student Gender

High School Attending

Student Mailing Address

Street Address

ZIP Code

Enter ZIP first and we’ll fill the town when the match is unambiguous.

City/Town

Selecting a listed town can fill its usual ZIP code.

Other City/Town

State

Other State

Student Phone Number

Student Email Address

Use the student’s own email, not the parent/guardian email.

Medical Information

Please review the conditions below before answering the required Yes/No question.

Medical conditions to consider:

Unexplained Alteration/Loss of Consciousness
Dementia
Cardiovascular Conditions
Hypoglycemia
Other Medical Condition
Mental Health Conditions
Musculoskeletal and Neurological Disorders
Narcolepsy or Idiopathic Hypersomnia
Prescription Medications/Opioid Replacement Therapy
Seizures/Epilepsy
Sleep Apnea Syndrome
Visual Conditions
Substance Use Disorder
Chronic Respiratory Disease

Does the student have any of the medical conditions listed above?

Answer Yes if any listed condition applies. You do not need to identify which condition on this form.

Maine BMV medical review may be required. Grumpas Driving School can provide the CR-24 Medical Evaluation Form when applicable. Medical clearance affects behind-the-wheel eligibility; classroom/coursework may continue as allowed.

Parent / Guardian Information

Provide the primary parent or guardian contact information.

Parent/Guardian Full Name

Parent/Guardian Email

Parent/Guardian Phone

Can this phone receive text messages?

I agree to receive course-related text messages from Grumpas Driving School. Message and data rates may apply; consent is optional and may be withdrawn.

Is the Parent/Guardian Address the Same as the Student’s Address?

Parent/Guardian Full Address

Payment & Registration

Review the payment terms and complete the acknowledgments.

Payment Option

How did you hear about Grumpas Driving School?

Referral / Other Source Details

I understand that the scheduled Orientation, class sessions, behind-the-wheel requirements, and Review/Permit Test are part of the course. I have reviewed and agree to the applicable Grumpas Driving School policies, including rescheduling, makeup, cancellation, no-show, and other course-related fees.

I understand that after registration review and approval I will receive Registration & Payment instructions. More than 7 days before Orientation, a $200 non-refundable deposit is required to reserve the seat and the remaining balance is due 7 days before Orientation. Within 7 days of Orientation, the full remaining balance is due to reserve the seat.