Booking Form

Please read our intensive courses terms and conditions before completing a booking form. All mandatory fields have (required) next to them and, besides these fields, any additional information you can supply will help us when sorting out you course and test. As mentioned on our Areas page we focus on the Maidstone and Medway areas but are more than happy to consider intensive courses further afield. You can contact us on 08007 720294 or email us at maidstoneschoolofmotoring@gmail.com to find out if we can help or to ask us any questions.

Title (required)

Your Name (required)

Address (required)

Postcode (required)

Telephone Number (required)

Email address

Date of Birth

Course Type
 Manual Automatic

Driving Licence No (required)

Theory Passed? (required)  Yes No

Theory Pass Certificate No

Date Theory Passed

Assessment Lesson?  Yes No

Preferred Course Start

Course Duration

Date of Test (if booked)

Time of Test
:

Test Centre

Do you have any disabilities? (required)  Yes No

If yes, please give details.

How did you hear about us?

Instructor spoken to (if any)

Previous driving experience

Any other information you would like to let us know

We agree to the terms and conditions.