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Great Commission Driving School 2019
Pre-Registration: Student Registration
Please fill-out this form, * indicates a required fields and Click Register at the bottom of the form
None
$315.00 - Two Week Driving Class
$65.00 - One Hour of Private Driving Instruction
$130.00 - Two Hours of Private Driving Instruction
$195.00 - Three Hours of Private Driving Instruction
$260.00 - Four Hours of Private Driving Instruction
$280.00 - Six Hours of Private Driving Instruction
$140.00 - Accompanying student to MVA
$175.00 - Exceeded Time Limit of Completing course
*Service:
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Camp springs
Oxon Hill
*Location:
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*Start Month:
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*Day:
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2019
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*Yr:
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Male
Female
*Sex:
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Morning
Evening
*Class Type
*Student Last name:
*Student First Name:
*Mid Int:
*Street:
*City:
*State:
*Zip Code:
*County:
Home No:
*Cell No:
*Learners Permit:(YES/NO)
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YES
NO
*Driving Exp:
None
A Little
A Lot
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*Current Age:
*DOB:(MMDDYYYY)
High School or College Name:
Parent(s) or Guardian(*)Only Required if under 18 yrs**
*Mother's Name:
*Work No.
*Father's Name:
*Work No.
*Are there ANY health Problems our school should be aware of?(YES/NO):
*If YES:please explain
*Emergency Contact Name:
*Work No.
*Parent?
