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*2023-24 Drivers Education Pre-Registration
Please Complete Form to Pre-Register for Fall/Spring/Summer Semester Drivers Education
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Student Driver Last Name
*
Your answer
Student Driver First Name
*
Your answer
Student Date of Birth (DOB)
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MM
/
DD
/
YYYY
Student Current HS
*
Your answer
Student Personal Email Contact
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Your answer
Student Driver Contact #
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Your answer
Parent(s) Name
*
Your answer
Parent Email Contact
*
Your answer
Parent Contact #
*
Your answer
Choose One Drivers Education (30-Hour/6-Hour Behind Wheel) Class - Student Max: 20 *Dates/Times Subject to Change
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CosTech 30-hour Virtual course ($65)/6-hour Behind the Wheel Instruction ($280)
Jan. 6, 13, 20, & 27 (Saturdays Only/8:00am-3:30pm) ($345)
March 4-14, 2024 (Monday-Thursday/2:30pm-6:30pm) ($345)
Please select preferred payment method. Payment must be received at least one week prior to start date. Program Cost is $345. Payment needed to secure seat.
*
Cash
Check/Money Order
My Payments Plus (MPP)
GDEC - Grant Scholarship (Email Original Grant Message to
robert.ayres@gcpsk12.org
)
CosTech (NOT Grant Eligible)/Access Link to Pay via Credit or Debit Card
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