Driver's Education Registration

CGTC Driver's Education Registration Form

Economic Development Continuing Education
Phone: (478) 988-6852
Email: driversed@centralgatech.edu

**Registration is not complete without payment. Early registration is encouraged to ensure adequate enrollment and space availability.**

Student Information

Full Name (as it appears on license) *This question is required.

Date of Birth *This question is required. MM/DD/YYYY This question requires a valid date format of MM/DD/YYYY.

calendar

Address *This question is required.

Address

City

Zip Code

Driver's permit/ License number *This question is required.

Driver's License Photos (front and back) *This question is required.- please upload as .png, .jpg, .jpeg, or .pdf -

File: {{filename}} delete

Phone Number *This question is required. This question requires a valid email address.

Student Email *This question is required. This question requires a valid email address.

High School *This question is required.