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GreenLight Co., Inc.

Is









GreenLight Driving School

1059 South Main Street

Cheshire, CT 06410

Phone (203)250-8406

Heather Carrano, Owner, Instructor

www.greenlightdrivingct.com







8 Hour Safe Driving Practices Program



Student Name: ____________________________________________________________________________



Sex: M or F Date of Birth: _______________ Phone: ___________________________________



Address: _________________________________________________________________________________



Name of Parent of Guardian: _________________________________________________________________



Email Address:____________________________________________________________________________









The Safe Driving Practices Program as required by the Connecticut Department of Motor Vehicles

includes 8 (eight) hours of classroom instruction only. Students must be at least 16 years of age in

order to begin taking any part of the program. The Connecticut Drivers Manual, decision making

processes as well as the effects of drugs and alcohol will be covered during the 8 hour program.

GreenLight Driving School does not guarantee that every student will pass the Connecticut

Drivers license exam when given. The DMV does not require any professional instruction be

given to a person obtaining a CT drivers license, however, behind the wheel driving hours may be

provided for an additional fee. Please feel free to contact the office with any questions.





Program Fee: $125



I hereby give consent for (name of student) ________________________ to participate in classroom training.



Parent/Guardian Signature: _______________________________________________



Student Signature: _______________________________________________________







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