Private Lessons - 1 on 1 Training

1043 Sterling Road, Suite # 101, Herndon, VA. 20170
Tel: (703) 478-6800
Email: info@aadrivingacademy.net
www.aadrivingacademy.net

Course Options

PLEASE BE AWARE THAT THERE IS A WAIT FOR ALL APPOINTMENTS.

We currently cover the cities in Zones 1 and 2 (CLICK HERE TO VIEW) If your city is not listed, we do not offer in-car services in your area. We pick up and drop off at home ONLY. Your city is the one listed on your Driver's License or Learner's Permit.

I ACKNOWLEDGE THAT THERE IS A WAIT FOR ALL APPOINTMENTS

ACKNOWLEDGED

Number of Lessons

(Each lesson is 1.5 hrs/90 mins long)

2 LESSON MINIMUM. WE DO NOT DO SINGLE LESSONS

How many hours of driving practice do you have?

Student Information

First Name

Middle Name

Last Name

Gender

MaleFemale

Date of Birth

MM/DD/YYYY or MM-DD-YYYY

Upload an Image of Your Learner's Permit

Must be .jpg .pdf or .gif (DO NOT upload .heic file)

Customer Number (Learners Permit/Drivers License Number)

MUST AT LEAST HAVE A LEARNERS PERMIT (A00-00-0000)

Address

Street Address

City

State

Zip Code

High School Closest to You:

Contact Information

Cell Phone

Home Phone

Email

Confirm Email

PLEASE BE ADVISED THAT THERE MAY BE A CONSIDERABLE DELAY(1-6 WEEKS DEPENDING ON INSTRUCTOR AVAILABILITY) BEFORE YOUR FIRST APPOINTMENT. DO NOT SIGN UP IF YOU ARE UNWILLING TO WAIT!

I AM WILLING TO WAIT

PLEASE BE ADVISED STUDENTS IN THE DUNN LORRING, FAIRFAX, FAIR LAKES, FAIR OAKS, FALLS CHURCH, GREAT FALLS, MCLEAN, MERRIFIELD, OAKTON, TYSONS & VIENNA AREAS THERE IS A WAIT OF ATLEAST 4 WEEKS BEFORE YOUR FIRST APPOINTMENT. DO NOT SIGN UP IF YOU ARE UNWILLING TO WAIT!

I AM WILLING TO WAIT

Scheduling Preferences/General Comments

Please tell us your scheduling availability, preferences and/or restrictions. This is NOT a guarantee that your scheduling preferences can be accomodated.

Payment

**No Refunds After 90 Days**

THE INITIAL PAYMENT OF $180 IS ONLY A DEPOSIT. THE REMAINDER BALANCE YOU WILL PAY TO YOUR BEHIND THE WHEEL DRIVING INSTRUCTOR.

Number of Lessons

Lessons

2 Lessons - $180 (2x90 min) ($180 deposit due now)3 Lessons - $260 ($10 Savings) (3x90 min) ($180 deposit due now)5 Lessons - $430 ($20 Savings) (5x90 min) ($180 deposit due now)7 Lessons - $600 ($30 Savings) (7x90 min) ($180 deposit due now)

Cardholder's Full Name

Cardholder's Email

Credit Card #:

CVC Code:

3 digit code on card

Card Exp Month:

(mm)

Card Exp Year:

(yyyy)

Contact Information

Private Lessons - 1 on 1 Training

1043 Sterling Road, Suite # 101, Herndon, VA. 20170Tel: (703) 478-6800Email: info@aadrivingacademy.netwww.aadrivingacademy.net

1043 Sterling Road, Suite # 101, Herndon, VA. 20170
Tel: (703) 478-6800
Email: info@aadrivingacademy.net
www.aadrivingacademy.net