Avon Driving School - Student Registration

Student Registration Form

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Thank you! You have successfully registered. We look forward to seeing you!

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Please fill in the required fields marked with *
First Name*
Last Name*
Email*
Street Address*
City*
State*
Zip Code*
Home Phone*
Cell Phone*
Parent's Cell*
Date of Birth* (yyyy)
Permit # (If Applicable)
Program*
Full Program: 30 Hours of Classroom Instruction (Includes CT State-Mandated "8-Hour Safe Driving Pracitices Program") and 8 Hours of On-Road Instruction
CT State-Mandated "8-Hour Safe Driving Pracitices Program" ONLY
30 Hours of Classroom Instruction (Includes CT State-Mandated "8-Hour Safe Driving Pracitices Program") ONLY
On-Road Instruction ONLY
Location*
Session Month*
Session Time*
Notes / Comments
By checking this box and submitting this application, I understand that:
• I need to bring $125 (cash or check) to the first class I attend.
• Students who are 16 and 17 years old will be required to complete a parental consent form that will be given on the start of their first classroom session at Avon Driving School.
By checking this box and submitting this application, I understand that I need to call to complete the registration process.