Permit Preparation Program
Please complete this registration form to participate in our next cohort. This is a 2-week, 6 session course that will begin on July 7, 2026. Mandatory orientation: June 29th at 10 am. 

If you have any questions please contact Birgit Mondesir at bmondesir@lunchbreak.org or at 732-747-8577 x3302.
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Email *
Full Name *
Phone Number *
Home Address *
Do you have a valid permit? *
Do you have a valid permit with at least 4 months left?  *
Have you attempted to take the written test previously? *
Have you scheduled an exam date? *
Are you a Life Skills participant? *
Are you a High School student under 18 yrs old?
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Which high school do you attend? 
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