The Rightway Driving School  

(802)372-4791
Registration Forms
To register, Please print form below. Please fill out form and send form and $200 deposit to address below. Call or email with any questions (802)372-4791 or e-mail ldanielczyk@yahoo.com  

The Right Way Driving School
Attn:  Lou Danielczyk
39 Town Line Rd,
Grand Isle, VT.  05458

The total cost for the course is $750. A $200 deposit is required to reserve a slot. Please make all deposit checks to Lou Danielczyk. All registrations will be treated on a first come, first serve basis. Deposit is not refundable before 30 days of a new class.

REGISTRATION FORM (please print, fill out and send with deposit to address below) 

NAME____________________________________________________________

ADDRESS_________________________________________________________

CITY____________________________STATE __________ ZIP_______________

TELEPHONE_______________________CELL___________________________

E-mail____________________________________________________________

SCHOOL __________________________________________________________

LEARNER’S PERMIT  NO.____________________________________________

AGE_____________________________

DATE OF BIRTH_______________________________

POSSIBLE CONFLICTS_______________________________________________

EMERGENCY NAME_________________________________________________

EMERGENCY PHONE NO.____________________________________________

DATE YOU CAN TAKE YOUR DRIVER’S TEST___________________________

Please Return Registration To:
 
The Right Way Driving School
Lou Danielczyk
39 Town Line Rd.
Grand Isle, VT.  05458

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