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Manitoba Driving Society
Age Bracket (check off which ever of the following that applies): A) 12 & Under B) 13 to 17 C) 18 to 29 D) 30 to 40 E) 41 to 54 F) 55 plus Applicant Signature
Date: Guardian Signature (If the applicant is under 18 years of age) Manitoba
Driving Society Volunteer Contact
Information:
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