DRIVER EDUCATION CONTRACT
Unlicensed and under 18 years old
Student’s Legal Name (please print): __________________________________________________
First Middle Last Who can we thank for referring you:___________________________________________________
Classroom session/Date of Classes:___________________________________________________
Student’s Age: _____________Grade in School:____________ Date of Birth:__________________
City:_____________________________ State:_______________________ Zip:_________________________
Student’s Home Phone: ( _____)_______________Student’s Cell Phone:(_____)________________ Student’s e-mail____________________________________________________________________ Student’s School:__________________________________________________________________ Mother’s Name: ________________________ Mother’s Phone: (_____)_______________________ Mother’s e-mail____________________________________________________________________ Father’s Name: ________________________ Father’s Phone:(_____)________________________ Father’s e-mail:___________________________________________________________________ Step-Mother’s Name: ___________________ Step-Mother’s Phone:(_____)____________________ Step-Father’s Name: ____________________ Step-Father’s Phone:(_____)____________________ Emergency Contact Name: __________________ Relationship: ___________________________ Emergency Contact Phone: (_____)____________________________________________________
To the extent permitted by law, student and parent or legal guardian agree to indemnify and hold harmless Drive! Driving School from any and all damages, expenses, fees, fines or other amounts occasioned by the acts of student at any time. It is acknowledged that this indemnification language is clear, concise and unambiguous and not unduly burdensome. It is also acknowledged that Drive! Driving School would not agree to the terms of this Agreement unless such indemnification is granted by student and parent or legal guardian and that the same is an integral part of this Agreement.
Drive! Driving School is not responsible for the future driving performance of students enrolled in this program.
Student Parent or Legal Guardian
Drive! Driving Instructor
Refund Policy: We are happy to refund tuition for classroom instruction, less a $10 processing fee, if you cancel classes two full working days prior to the first class meeting. If a request for a refund is made less than two working days prior to the first class, the student will receive a refund equal to 50% of the paid class tuition. If a student cancels a behind-the-wheel session at least 24 hours before a scheduled appointment, the session fee will be refunded minus $50. If a behind-the-wheel session is cancelled less than 24 hours before the scheduled appointment, no refund will be provided.
Attendance: North Carolina state law requires that students attend 30 hours of classroom instruction. Missed classes must be made up and completed during another session. Locations for makeup dates are subject to change and cannot be guaranteed. If students arrive 10 or more minutes late and leave class 10 or more minutes early, this will be counted as a one-hour absence. A student automatically fails after 10 missed hours and will be required to retake the entire 30-hour classroom portion of driver’s education.
DRIVE! DRIVING SCHOOL 566 Midway Lake Mooresville, NC 28115 704-928-7457