PRIVATE LESSON REGISTRATION

2800 W Broad St #611, Athens GA 30606

BY APPOINTMENT ONLY

elly@athensdrivingprep.com

www.athensdrivingprep.com

(706) 850-2800

LIC# LDT-710
WINTER LESSON WAITLIST IS NOW OPEN

Weekend lesson slots are booked out five to six weeks
PRIVATE LESSON REGISTRATION

NO MONEY IS DUE WHEN YOU REGISTER. YOU DO NOT PAY UNTIL WE HAVE FOUND YOU A PLACE ON THE SCHEDULE, WHICH MAY TAKE SEVERAL WEEKS.

Student Information
Legal Name (as it appears on your permit/ license)*

First NameMiddle NameLast Name
Preferred name to be called*
Student Email *
Phone Number
Address*

Street Address

Street Address Line 2

City and Zip CodeState / Province

Postal / Zip Code
School currently attending (if any); this helps us with scheduling
Take a photo of your permit/ license:
Birth Date

MonthDayYear
Permit/ license Number
e.g. 11183021
Permit/ license issue date

MonthDayYear
Permit/ license expiration date

MonthDayYear

WINTER LESSON WAITLIST IS NOW OPEN