New Pupil Registration | Learn With Gary

Welcome to Learn With Gary

Thank you for choosing me as your driving instructor.

Please complete this short registration before your first lesson. It should take around 2–3 minutes.

Your information will only be used to manage your driving tuition, keep appropriate pupil records and contact you when required.

About you

Personal details

Please enter the pupil’s legal name and home address.

First name * Surname *

Date of birth * Parent or guardian details will be required automatically for pupils under 18. Home address * Postcode *

Keeping in touch

Contact details

These details will be used for lesson administration and registration confirmation.

Mobile number * Email address *

Is the usual lesson pickup address different from the home address?

No Yes

Your licence

Driving details

Driving licence number * Used for pupil administration and practical test support where required.

Have you had driving lessons before? *

No previous experience Less than 10 hours 10–20 hours 20–40 hours More than 40 hours

Previous driving experience

Automatic Manual None

Have you previously taken a practical driving test? *

No Yes

Theory test status *

Not yet passed Passed

Is a practical test already booked? *

No Yes

Availability

Lesson preferences

This helps Gary understand your availability. It does not confirm a lesson time.

Preferred lesson days

Preferred lesson times

Morning Afternoon Evening

Do you have access to a car for private practice?

Yes No

Safety

Emergency contact

Recommended for adult pupils and required for pupils under 18.

Contact name * Relationship to pupil * Contact mobile number *

Final details

Safety and referral information

Is there anything Gary should know to help provide safe driving lessons? *

Only include information relevant to safe tuition, such as a medical condition, disability or medication that could affect driving.

No Yes

How did you hear about Learn With Gary? *

Please review

Terms and declaration

Open the Terms & Conditions before confirming your acceptance.

Read Terms & Conditions of Tuition

I confirm that the information I have provided is accurate. I confirm that I have read, understood and accept the Learn With Gary Terms & Conditions of Tuition. I understand that submitting this registration does not itself confirm a lesson booking.

Almost finished

Review and sign

Check the summary below, then sign using your finger, Apple Pencil or mouse.

Full name of person signing *

Digital signature *

Sign within the box above.

Registration complete

You’re all set

Thank you. Your registration has been received successfully.

Registration reference LWG-PREVIEW

Your registration has been stored successfully. Email confirmation will be connected in the next stage.

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