WGTC Driver’s Education Registration Form (Valdosta Campus Areas)
Course Dates by Location
Campus and Dates *
Student Information
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
County *
Your answer
Mobile # (please list student’s mobile #, not parent’s #, in this field) *
Your answer
Email Address (please list student’s email, not parent’s email, in this field) *
Your answer
Date of Birth *
Your answer
If you are under age 15 and do not have a learner's permit yet, click Yes here.
Learner’s Permit # (Must be provided two weeks prior to class start.)
A copy of the student's learner's permit is required. (Instructions for submitting a copy of the learner's permit will be included at the top of your confirmation email.)
Your answer
Last Grade Completed *
Voucher Code
If applicable, please enter your State of Georgia driver's education voucher code and the issue date (email date) in the spaces indicated below.
State of Georgia Driver's Education Voucher Code Number
Your answer
Issue Date
Date email was received with the Voucher Code Number
Your answer
Parent/Guardian Information
Name *
Your answer
Mobile # *
Your answer
Email Address *
Your answer
Agreement
Course Fees/Registration: If a scholarship is not available, the fee for the course will be $350.00. Continuing Education course fees must be paid in advance of class start date. Cash, Check, Money Order, Discover, MasterCard, or Visa is accepted. You are officially enrolled and your name is placed upon the class roster as soon as we receive your registration form and payment. Students accepted first day of class on a space available basis only.

Refunds and Cancellations: Full refunds will be given by contacting the Continuing Education office for cancellations at least 48 hours (2 working days) prior to the beginning of the program if payment was made in person, by mail, or via phone. For cancellations with less than 48 hours (2 working days) notice prior to the beginning of a program NO refunds or credit will be given. Wiregrass reserves the right to cancel, postpone, limit enrollment, split or combine classes, and change instructors and class locations when necessary. For classes cancelled by Wiregrass Georgia Technical College, registrants are given full refunds.

Services to Students with Disabilities: Wiregrass Georgia Technical College is committed to providing individuals with disabilities equal access to higher education. Any student in need of testing or classroom accommodations due to a documented disability should contact the Special Populations Coordinator for an appointment to discuss support services. For Atkinson, Ben Hill, Coffee, and Cook counties, contact Amanda Walker by telephone at (229) 468-2242 or by email at amanda.walker@wiregrass.edu. Valdosta students should contact Katrina Royal by telephone at (229) 333-2100 ext. 1236 or by email at katrina.royal@wiregrass.edu.

WGTC is accredited by the Commission of Colleges of the SACS. A Unit of the Technical College System of Georgia, Equal Opportunity Institution.

I understand and accept the conditions outlined in the agreement above. *
Type your name in the textbox below to indicate acceptance of the conditions outlined in the agreement. *
Type first and last name.
Your answer
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