Adult Driving Lessons Consent Form

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Today's Date: *

YYYY

Your Name: *

Contact Phone Number: *

Can we send you text message reminder of your driving lesson?

yes

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Permit Number: *

Email Address: *

I the above individual agree to bring the hard copy of my learners permit with me to every driving lesson to avoid a $40 fee per hour driving *

I Agree

I the above individual agree to give United Driving School a 24 cancellation notice for my driving lesson to avoid the $40 fee per hour driving *

I Agree

I understand that if I have a B restriction on my learner's permit that I have to have my eye glasses or contacts on me if I don't I will not be able to take my lesson. *

I Agree

I the above individual understand that United driving School has a No Refund Policy and I'm responsible for all the fees due to United Driving School and the Mass RMV *

I Agree

I have reviewed this form and swear (affirm), that the information I have provided is true and complete and I agree with its terms. *

I agree to these terms and conditions and to the united driving schools policies

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