School Registration Form

Name________________________________________

Address______________________________________

                   Street         City              State           Zip

Cell Phone_____________ Other Phone____________

Email:________________________________________

Are you proficient with a Manual Transmission?______

Have you attended a driving school before?__________

If so, when and where?__________________________

Will you have any special interests, requirements or

health needs while attending our school?____________

What vehicle(s) do you own?______________________

Driving Suit Size:____ Helmet Size____ Glove Size_____

NOTICE:  All deposits are non-refundable.  If a date

change is necessary, a minimum of 30 days

advanced notice must be given in order for the

deposit to apply to the new date.  If due notice is

not given, the deposit shall be forfeited.

Prices for 2010 

1-Day High Performance Driving School:  $995

2-Day High Performance Driving School:  $2,100

Non-refundable deposit required at booking:  $995

Any balance remaining is due 14 days prior to school.

Cash, Checks and Visa/Mastercard accepted.

Make checks payable to:

Gulf Coast Racing Schools

1479 Magazine St., #2

New Orleans, LA 70130

Credit Card Users:

V or MC:________  #: _________________________

Expiration Date:________________

Name on Card: ______________________________

3-Digit Code on Back: _________________

Signature: __________________________________