Home » Barber’s Defensive Driving Registration Barber’s Defensive Driving Registration Register Here for the Georgia DDS Certified Defensive Driving CourseStudent Name(Required) First Last Student Date of Birth Month Day Year Student Cell Phone Number(Required)Student Email(Required) Home Address (Street, City, State and Zip)(Required) Street Address City Select StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Driver's License/Permit/ID NumberWhat State was your D.L., Permit or ID issued in?AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificChoose your class dates, reason for attending below and how you want to attend on zoom or in-person below:GA DDS Certified Course Needed(Required) Defensive Driving/ Driver Improvement Program - Choose Class Dates:(Required)Select your course date(s)SATURDAY September 12 from 10:30am-5:30pmSUNDAY September 13 from 10:30am-5:30pmSeptember 14,15 (Mon & Tues night) 5:30-8:30Wednesday September 16 from 10am-5pmSeptember 16,17 (Wed & Thurs night) 5:30-8:30Thursday September 17 from 10am-5pmSATURDAY September 19 from 10:30am-5:30pmSUNDAY September 20 from 10:30am-5:30pmSeptember 21,22 (Mon & Tues night) 5:30-8:30Wednesday September 23 from 10am-5pmSeptember 23,24 (Wed & Thurs night) 5:30-8:30Thursday September 24 from 10am-5pmSATURDAY September 26 from 10:30am-5:30pmSUNDAY September 27 from 10:30am-5:30pmReason for Attending Defensive Driving(Required) Georgia License Reinstatement - $95.00 Georgia License Reinstatement & Point Reduction - $95.00 Court/Probation/Lawyer - $95.00 Point Reduction off Georgia License ONLY - $95.00 Insurance Discount - $95.00 How do you plan to attend class?(Required)We teach the same class on Zoom as In-Person. Most people attend on Zoom. Our physical location is in Columbus, GA . You are more than welcome to attend in-person at our Columbus location. Select either In-Person or ZoomIn-PersonZoomConsentI, the undersigned student, agree to complete the above course, consisting of 1 class for 6 hours each, totaling 6 hours of instruction by the above-name driver improvement clinic. It is understood that this Clinic is certified by the Georgia Department of Driver Services (DDS) in accordance with Georgia Law Title §40-5-80 (DRIVER IMPROVEMENT ACT) and the rules and regulations adopted there under and that each instructor is certified by the DDS. The student’s successful completion of the above-named course requires each of the following: 1. Attendance at all classes sober and free from illicit drugs. 2. Attendance on time for all sessions. 3. Reasonable attentiveness and participation in all classes. 4. Attendance at all sessions unless medically excused. 5. All sessions must be completed within 60 days. 6. Successfully passing a written or oral examination with a grade of at least 70. This driver improvement clinic will not refund any tuition or part of tuition if the Clinic is ready, willing, and able to fulfill its part of this contract. I understand that if I fail to comply with the terms and conditions of this agreement, I am in breach of contract and the school will not be under any obligation to fulfill the terms of this contract, and may, at its option, terminate this agreement immediately. It is agreed that an owner, instructor, or employee of this Clinic shall not give the impression to a student that upon completion of their instruction this Clinic will guarantee the securing of a driver’s license to operate a motor vehicle. However, immediately upon the student’s successful completion of the course as described above, the Clinic agrees to provide certification of said completion to the student. This Clinic has and will maintain for the protection of the contractual rights of the student a performance bond in the principal sum of ten thousand ($10,000.00) dollars for the students to be written by a company authorized to do business in the state of Georgia. This agreement constitutes the contract between the above-named driver improvement clinic and the above-named student and no verbal statements will be recognized.YesSignature(Required)Payment InformationThe total amount shown below will be charged to the Credit Card that you provide.Georgia DDS Certified Course Needed Credit Card(Required)Payment processed via Stripe.Card Details Cardholder Name Unique Contract Number*** IF you hit the submit button and it does not work, click the pay button below. You will be guaranteed a spot into any of our upcoming classes. Call 706-561-2509 if you have any problems.****** PAY $95 HERE IF THE ABOVE FORM SPINS WHEN YOU HIT SUBMIT