Seniors For Safe Driving
Dedicated To Highway Safety
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Date
May 15, 2025
Location:
Caldwell Memorial Library
988 N. Chestnut St EXT
Derry, PA 15627
Time:
3:00pm - 7:00pm
Phone:
(724) 283-0245 or
(800) 559-4880
Instructor:
Larry Nunamaker
Registrant 1:
First Name:
MI:
Last:
Address:
City:
State:
(
PA
)
Zip:
Email:
Date of Birth:
(
MM / DD / YYYY
)
Telephone Number(s):
Day #:
Night #:
Drivers License Number:
Have you taken a Safe Driving course before? If so, with who?
SFSD
AARP/AAA
Other
Never taken a course
Registrant 2:(Optional)
First Name:
MI:
Last:
Address:
City:
State:
(
PA
)
Zip:
Email:
Date of Birth:
(
MM / DD / YYYY
)
Telephone Number(s):
Day #:
Night #:
Drivers License Number:
Have you taken a Safe Driving course before? If so, with who?
SFSD
AARP/AAA
Other
Never taken a course