2800 W Broad St #611, Athens GA 30606
elly@athensdrivingprep.com
www.athensdrivingprep.com
(706) 850-2800
LIC# LDT-710
Private driving lessons for 2023 are now completely full. Registrations submitted at this time will be put in line for FEBRUARY scheduling.
PRIVATE LESSON Registration
There is currently a fuel surcharge of up to $10 per lesson.
Student Information
Legal Name (as it appears on your permit/ license)
*
First Name
Middle Name
Last Name
Preferred name to be called
*
Student Email
*
Phone Number
Address
*
Street Address
Street Address Line 2
City and Zip Code
State / Province
Postal / Zip Code
School currently attending (optional)
Either take a photo of your permit/ license, OR fill in its information below:
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Permit/ license Number
e.g. 11183021
Permit/ license issue date
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Parent Information (if student is under 18)
Parent Name
Parent email
Parent phone
Emergency Contact
Emergency Contact (additional/ different from above)
Name
Phone #
Almost done…
I am interested in:
*
Evaluation for special needs
Road test prep package
Three lessons (6 hours)
Not sure yet
Five lessons (10 hours)
Check the ones which best describe your driving experience so far:
No driving experience
A little parking lot/ neighborhood driving
I’m on single-lane roads
I’m on four-lane roads at 55-65mph, city driving, some parking
Need to learn parking maneuvers or get an insurance discount
Anything else?
How did you hear about Athens Driving Prep?
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