Thank You Child's Full Name (including middle)* Physical Street Address* Town* Zip Code* Parent's Cell Phone Number*Parents Full Name* Child's Cell Phone Number*Permit number and issue date (If they have a permit)* Date Of Birth* MM slash DD slash YYYY High School* Email Address – Child or Parent* Do you want to pay $200 deposit or pay in full?* Pay $200 deposit Pay in full HiddenClass you prefer Online In-Person Select Class*June 20-24 - SpencerJune 27 – July 1 - SturbridgeJuly 18-22 - SpencerAugust 15-19 - SpencerAugust 22-26 - SturbridgeDate* MM slash DD slash YYYY Payment Mode* Cash Check Credit Card If paying by Credit Card:Credit Card NumberExpiration DateExpiration MonthMonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberExpiration YearYear2022202320242025202620272028202920302031203220332034203520362037203820392040CVVNote: Cash can be dropped off in person, or Check can be mailed to Sturbridge address Address: Green Light Driving School 113 Main St. Sturbridge, MA 01566Note: Cash can be dropped off in person, or Check can be mailed to Sturbridge address Address: Green Light Driving School 113 Main St. Sturbridge, MA 01566Once enrolled, you will receive an email to confirm. Cash can be dropped off in person or Check can be mailed to 113 Main St. Sturbridge, MA 01566. We will contact you for credit card payments.CAPTCHA