Full Teen Course Student Registration Form - Nov/Dec 2024 Session
Students Name:
*
First Name
Last Name
Parents Email:
*
Confirmation Email
confirm email
Students Age:
16-17 yrs old
18-21 yrs old
Choose Your Way To Pay:
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( X )
(Deposit) Full Teen Course ($600 paid later)
$
200.00
(Half Payment) Full Teen Course ($400 paid later)
$
400.00
(Full Payment) Full Teen Course
$
800.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
PAYMENT CONFIRMATION AND CLASS INSTRUCTIONS will be EMAILED within 24 hours after submission of this form
*
You understand if you do not receive an email after 24 hours of submission of the form, please email marco@centraldrivingschoolct.com or text 860-829-9800 for help!
By signing, Parents/Teen Agree To Begin Driver Training Through Central Driving School And To Follow All Guidelines and Policies
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