Online Classroom & Behind the Wheel Contract
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Email *
Parents Name *
Parents Phone Number *
Street Address (used for mailing) *
City *
Zipcode *
Please select which class you are registering for *
Classroom & Behind the wheel
Students Full Name First Middle and Last as it appears on Birth Certificate
Students Date of Birth *
Students Phone Number *
Students Email for online link *gmail address is needed for the platform we use, the students school accounts do not work *
Emergency Contact Name *
Emergency Contact Phone Number *
Parents Signature - confirms you read and agree to terms below *
Today's Date *
Contract Terms
Contract Terms

   Full Balance Due on the first day of Class
   Contract is good for 2 years from date signed.
   No refunds on or after start date
   Behind the wheel will be scheduled after completion of classroom and minimum numbers of practice hours have been completed.
   Only the instructors and up to two students will be allowed in the vehicle.
   This contract must be filled out and payment in full before a completion card will be issued.
   24 hour minimum notice needed to cancel a behind the wheel lesson or a $30 fee charged.
   A valid permit must be brought and kept with the student while driving at all times.
   This contract constitutes a contract between the program and the student/parent and no verbal statements or promises will be recognized.
   For online instruction: Student agrees to participate with no distractions or background noise. Students are to follow the instructors verbal rules and instructions at the start of class. If student is a distraction or not following classroom rules, they will be removed from the online learning group and follow-up will be made to parents.
   Please sign confirming agreement to the terms and conditions.
A copy of your responses will be emailed to the address you provided.
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