SmartDrive Enrollment Request

Please complete this form so that your parents may give permission for your to enroll in SmartDrive Classic.

SmartDrive Classic Enrollment Request

Initial step of SmartDrive Classic Enrollment.

All Teen Driver requests for enrollment in the SmartDrive Classic online defensive driving program require permission from your Parent/Guardian/Sponsor. Your Parent/Guardian/Sponsor must provide information including your Driver's License information that SmartDrive considers sensitive - and to meet the requirements of the Children's Internet Protection Act. Once you complete this form - a notice will be sent to your Parent/Guardian/Sponsor by email asking for your driver's license information and their permission for you to enroll in this program. If your Parent/Guardian/Sponsor does not have access to email - please contact SmartDrive by email - classic@smartdriveusa.org - or phone 888-553-6543 to make alternate enrollment arrangements.
Student Name (as it appears on state issued driver's license)*
First Middle Last
Student Email*

IMPORTANT- do not use a student email address provided by your school. Many school email systems block mail non-whitelisted domains from outside their system.
Student Mobile Phone (for Text/SMS Notifications)*
Your High School - Select by State*
Please Select Delaware High School*
Please Select Maryland High School*
Please Select Pennsylvania High School*
Name of Parent/Guardian/Sponsor*
Prefix First Last Suffix
Name of Parent/Guardian/Sponsor who will provide permission for your enrollment in SmartDrive Classic. If your Parent/Guardian/Sponsor does not have an e-mail address - please call SmartDrive at during business hours at 888.553.6543 (8A-5P) and leave a message with your contact information.
Email of Parent/Guardian/Sponsor who will provide permission for your enrollment.*
Enter Email Confirm Email

The email address of the Parent/Guardian/Sponsor cannot be the same as the student's email address. If your Parent/Guardian/Sponsor does not have an e-mail address - please call SmartDrive at during business hours at 888.553.6543 (8A-5P) and leave a message with your contact information. SmartDrive will follow-up your Parent/Guardian/Sponsor to complete arrangements for your enrollment.
Parent Mobile Telephone Number*
Please provide the mobile telephone number of Parent/Guardian/Sponsor should contact be required as part of the enrollment process.