Student's Full Name
Parent's Name
Parent's Email
Phone Number
Which Location?
Statesboro
Metter
For which Month/Session
are you signing up?
For which program are
you signing up?
Limited Program $75
Complete Program $299
Behind-the-Wheel Only ($50/hour)
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comments/concerns/special
situations here.
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INFORMATION FORM
Conner's Place
1015 East Inman Street
Statesboro, GA 30458
912-764-7751 phone
912-764-8531 fax
betsey@connersplace.org