Parent's Name: _______________________________________________________________________

Address: ___________________________________________ Phone:  (         ) ________________

City: ______________________________________ State: ______  Zip Code: _________________

Email Address: _________________________________  # of Vehicles to Enroll: _______ 

                     Make:                  Model:                    Color:                  Tag #:

1.  ______________________________________________________________________

2.  ______________________________________________________________________

3.  ______________________________________________________________________

4.  ______________________________________________________________________

Send Parental Notification to:  (If different than above)

Name:  ___________________________________________________________________

Address:  _________________________________________________________________

City: ________________________________________ State: ______ Zip Code: _______________

I wish to participate in the Forsyth County Sheriff's Office S.T.O.P.P.E.D. Program and fully understand that I may receive notification when one of my enrolled vehicles, while operated by a driver under the age of 21, is stopped by a Deputy. 

Signed: _____________________________________________________

Please Print Your Name____________________________________________

Please mail or fax this form to:

Forsyth County Sheriff's Office

Administrative Services Division

202 Veterans Memorial Blvd.

Cumming, GA 30040

Fax:  (770) 205-4644

Questions:  Call the Sheriff's Office at (770) 781-3045