Enter the Raffle for Driver Education (in class)!

DRIVER EDUCATION: We offer three options:

1. Two day live and two day home study OR 2. Four Day Live OR 3. Online Course

Enter for a chance to win Driver Education (in class). This class will allow you to obtain your permit. Raffle does not apply to driver training course or lessons. This is a separate course. Learn more about that course here.

   * Student First and Last Name    
* DOB: mm/dd/yyyy
   *Address, City, Zip
    , , CA | Zip
   * Student    
* Parent e-mail:
   * Parent or Guardian Name    
* Parent / Guardian Phone
* High School Student Attends:
   * Preferred Class Dates    
   * Preferred Class Dates    
*How did you hear about this?

2 lucky winners will receive driver education (in class course to obtain your permit) at no cost. Raffle drawings will be drawn on the 1st for the Antioch class and the 15th for the Concord class. The monetary value is $75.00 the experience is invaluable :-). Winners will be notified by email. You can enter once a day. Enter today and win!!

***No Cash Value, cannot be used for driver training or other services, space in any course is subject to availability***

Submit this form once.

Driversity™ is a registered Trademark (USPTO 77956061). May only be used with written permission from David and Rainy Robinson.
Antioch: 516 W. 2nd Street, Antioch, CA 94509 | 925.778.7172 |Concord: 288 Sally Ride Drive, Concord, CA 94520 | 925.691.4440
www.driversity.com | www.driversitydrivingschool.com | www.driversityofantioch.com | www.driversityofconcord.com | www.driversity.mobi