GreenLight Co., Inc.

GreenLight Driving School

1059 South Main Street
Cheshire, CT 06410
Phone (203)250-8406
Heather Carrano, Owner, Instructor

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.

Fee for the 8 hour Safe Driving Program is $125.00

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

Parent/Guardian Signature: _______________________________________________

Student Signature: _______________________________________________________
Please click on the link below to open the registration in a new window.