Swift Driving & Traffic Violator School
411 E. 18th Street, Suite D
Oakland, CA 94606
(510) 839-3819


Simultaneous Enrollment For Driver Trainings

Student Information:

Full Name:___________________________________________________________

Full Address:_________________________________________________________

Phone Number: _______________________________________________________

Date of Birth:_________________________________________________________

Social Security: _______________________________________________________

High School:__________________________________________________________

Pre-paid Amount: ______________________________________________________

Please read and sign below

I understand and agree to the terms outlined above.

Signature________________________ Date____________________

To be filled out by Swift Driving School Employee

Enrolled Date: _________________________________

Receipt Number: _______________________________

Certificate Number:______________________________