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Intake form
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Name
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Email address
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What type of course are you interested in?
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Online course for kids
Online course for adults
How did you hear about us?
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Social media
Friend or family
Search engine
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What is your preferred method of communication?
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Phone
Email
What is your age group?
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Under 18
18-25
26-35
36-45
46 and above
When do you plan to start your driving course?
Additional questions or comments
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