8 Hour Safe Driving Online Course
Student's Full Name
*
First Name
Last Name
E-mail Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
You are only eligible to take this course if you are 16 or 17 years old.
*
I am 16 or 17 years old.
I understand this 8 hour course is the Connecticut minimum requirement for teenagers and NOT a FULL COURSE driver education program
Yes, I understand.
Parent please type your full name below to give your child consent to take this course.
Choose your desired date and enter your payment info
Once you submit this form, you will receive a zoom registration form to receive your zoom link.
Submit
*
prev
next
( X )
Teen 8hr Safe Driving Course
MON. OCT 12TH 5P-9P
TUES. OCT 13TH 6:30P-8:30P
WED. OCT 14TH 6:30P-8:30P
$150.00
$
150.00
Credit Card
Should be Empty: