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Distracted Driving 101 - Registration


 
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Distracted Driving 101 Class©
DDA Office - Newtown Square, PA


Location: DDA Office, 4689 West Chester Pike,
Newtown Square, PA 19073
When: 9am-10am, Sat 3/14/20, Sat 4/4/20, or Sat 5/9/20 (choose 1)
Tuition: Sale ends Sunday midnight $75 $20 per student
Space is Limited so register
now before classes fill up
*New student registrations will be accepted until class is full


Please DO NOT submit while using smart phone or tablet

Student Information
First Name:
Last Name:
Gender:
Age:
Street Address:
Apt / Floor:
City:
Zip Code: (5 digits)
Email address:
School: (leave blank if n/a)
Grade: (leave blank if n/a)
Parent Information (if student is under 18 yrs of age)
Name:
Relationship (if applicable):
Email address:
Phone number:
Cell number:
Work number:
Contact Preferences
Best Time:
Best Day:
Other Information
Select a Class:
Any Accidents Yet?
Any In-Car Lessons Yet?
PA Permit or License Yet?
Any Comments, Concerns or Questions can be typed here:

*DDA Inc. reserves the right to push back and/or change class dates and
times if minimum class enrollment has not been met prior to each session.
To avoid this, please refer a friend to take our class with you!!

Please DO NOT submit while using smart phone or tablet -
form may seem to submit properly but we will not receive it





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Take a Free Practice PA Permit Test If you haven't been to the DMV to get your learner's permit, or you've been there a few times and had difficulty passing the computer knowledge test--it's okay. DDA is here to help!!! Just click on the PA Driver's Manual (to the left), and you can take a 25 question practice permit test which is very similar to the PA test. If you feel you need more practice questions, just Google "free PA permit test" and you can keep trying practice questions until you're ready to pass the real thing--GOOD LUCK!!!!