Joshua's Law Course (30/6) Registration

Payment Type*

Credit CardCheck payment (Payment required for every order, must receive within 48 hours for order to be complete. We are unable to hold a seat if not received within 48 hours. )

Dates:*

September 20 - 23, 2025November 22 - 25, 2025

Dates*

September 20 - 23, 2025 -- Full Payment$560.00

September 20 - 23, 2025 -- 50% deposit$280.00

November 22 - 25, 2025 -- Full Payment $560.00

November 22 - 25, 2025 -- 50% deposit $280.00

Total $0.00

Payment

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

General Information

Parent/Guardian (if applicable)

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

Student Information

Driver's Name (must match permit/legal info)*

First NameLast Name

Birth Date*

MonthDayYear

School Name

Grade

Gender (must match permit/legal info)*

MaleFemale

Student Permit/License #

If they don't have permit yet type N/A

Expiration Date

Date

Student's Phone*

Area CodePhone Number

Does the driver have any special accommodations we should be aware of (504 Plan, IEP, etc.)? If yes, please describe.

Special Accommodations Information

Refund/School Policy

Towne Lake Driving School does not offer refunds.

We also do not participate with the Georgia Scholarship. Please do NOT register if you are applying for the scholarship as we are unable to refund your money.

All contracts are good for one (1) year.

Confirmation

BY CLICKING THE SUBMIT BUTTON, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE. I ALSO CONFIRM THAT I AGREE WITH TOWNE LAKE DRIVING SCHOOL'S PRIVACY POLICY.