Athens Driving Prep Registration

SUMMER LESSON SCHEDULE IS FULL .
If you would like to fill out a registration form, you will be put in line to be scheduled for the next available lessons in August.

FUEL SURCHARGE NOTICE:

There is currently a per-lesson fuel surcharge added to each lesson price.

___________________________________________

Athens Driving Prep

Driving Lesson Registration
Student Information
Legal name as it appears on permit *

First Name Middle Name Last Name
Preferred/ Nickname
Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
Student Phone #

Area Code Phone Number
School currently attending (optional)
Student email *
NEEDED TO SIGN E-CONTRACT
Date of Birth *

Month Day Year
Date
Permit/ license #:
Permit/ license Issue Date

Month Day Year
Permit/ license Expiration Date

Month Day Year
Parent or Guardian Information

If the student is a legal adult, skip this section
Name

First Name Last Name
Email
NEEDED TO SIGN E-CONTRACT
Phone Number

Area Code Phone Number
I want the lesson progress reports emailed to:
Please choose at least one:

Student’s email Parent’s email
Emergency / Alternate Contact

For students who are legal adults
Emergency contact

First Name Last Name
Emergency/ Alt Phone Number

Area Code Phone Number

Scheduling Profile
I am interested in:

Course safety certification (three lessons equaling six hours) to earn a $150 tax deduction and possibly a 10% insurance discount Advanced package (five lessons equaling ten hours) for safety certification plus extra or advanced skills instruction I need a personalized package for ASD, ADD/ ADHD, severe anxiety disorder, sensory disorder, accident PTSD, or other conditions which may require different lesson structure Road test package: one lesson (two hours) to review parking skills for the road test, plus chaperoning to the test (three hours); includes review time before taking the road test in our instructional car (must have your 40 hours of practice done and be able to drive) I am not sure yet; please contact me so we can figure it out together I am a foreign driver and need a GA license soon
How did you hear about Athens Driving Prep? Please list referrals here:
Anything else?
Athens Driving Prep, LLC
Lic #LDT 710 | 706-850-2800 | elly@athensdrivingprep.com
2500 W Broad St, Suite 611, Athens GA 30606 (by appointment only)
Should be Empty:

SUMMER LESSON SCHEDULE IS FULL . If you would like to fill out a registration form, you will be put in line to be scheduled for the next available lessons in August.