LEARN TO DRIVE LTD DRIVING SCHOOL

Transcription

1 Dear Parent: LEARN TO DRIVE LTD Please find enclosed a Driver Training School Agreement, an Emergency Medical Form/Direction Sheet, and an Addendum To Training Agreement (cancellation policy) for your son or daughter. Please complete all three documents, front and back, and return them to our Pioneer Office (P.O. Box 27, Pioneer, OH 43554) within 10 days along with a $ NON- REFUNDABLE DEPOSIT. You will receive a confirmation phone call letting you know your student is in the class he or she signed up for. Once we receive the contract and deposit, your son or daughter will be guaranteed a place in the class. Some classes do fill up, so it is advisable to return the contract and deposit in a timely manner. There will be a 20-minute orientation on the first night of class. We discuss licensing laws for teens, proper driving techniques, and what is expected of the students in the driver training program. We also show a short film. There will be time for questions. We encourage you to attend if your schedule permits. If your student has any special needs, it is helpful for us to have this information before class begins. We can then let the instructor know. We want to make the driver training course a positive experience and assist the students and parents in any way we can. Please feel free to communicate with us on any suggestions or improvements. Cooperation between parents, students, and the driving school is very important. We look forward to meeting you and your son or daughter. Sincerely, Jim Fee Administrative Official/Instructor Patti Fee Training Manager/Instructor Enclosures (3) School Location: 110 East High Street, Date: Bryan, OH Time: Mon - Thurs 6:00pm- 9:00pm for two weeks

2 LEARN TO DRIVE LTD DRIVER TRAINING SCHOOL AGREEMENT (The Student may begin classroom instruction at age 15 years and 5 months) DATE: FIRST NAME: MIDDLE INIT: LAST NAME: ADDRESS: COUNTY: CITY: STATE: ZIP: PHONE: DATE OF BIRTH: AGE: MALE: FEMALE: CLASSROOM TRAINING TO BE CONDUCTED AT: LEARN TO DRIVE LTD Driving School, 110 E High St, Bryan, OH LICENSE # _1372 TELEPHONE: (419) PRACTICAL DRIVING INSTRUCTION TO BE CONDUCTED IN A Five_County_Area _ HIGH SCHOOL PERMIT # DATE PERMIT VALIDATED PREVIOUS DRIVING EXPERIENCE: YES NO FULL COURSE WILL CONSIST OF: HOURS CLASSROOM INSTRUCTION 2. _8_ HOURS PRACTICAL DRIVING INSTRUCTION CERTIFICATE NO. FULL COURSE COST: $ ADDITIONAL HOURS AT $ (optional) USE OF SCHOOL VEHICLE FOR STATE TEST $ (optional) I AGREE TO REIMBURSE THE FOR ANY RETURNED CHECK CHARGES OR ANY CHARGES RESULTING FROM INVALID CREDIT CARD TRANSACTIONS. THE SHALL FURNISH A LICENSED INSTRUCTOR AND A MOTOR VEHICLE FOR INSTRUCTION. THE DOES NOT GUARANTEE THE ISSUANCE OF A DRIVER'S LICENSE TO THE STUDENT. PLEASE NOTE: FEES ARE NON-REFUNDABLE. DRIVER TRAINING SCHOOLS ARE LICENSED BY THE DEPARTMENT OF PUBLIC SAFETY THROUGH THE OHIO DRIVER TRAINING PROGRAM, 1970 W. BROAD ST., COLUMBUS, OHIO THE COMPLETION OF DRIVER TRAINING WILL BE MADE AVAILABLE BY I HAVE READ, UNDERSTAND AND RECEIVED A Copy OF THIS AGREEMENT. SIGNATURE OF OFFICIAL DATE SIGNATURE OF PARENT / GUARDIAN SIGNATURE OF STUDENT DATE DATE METHOD OF PAYMENT: CHECK NO. CASH CLASS START DATE: AMOUNT PAID BALANCE OWED

3 ADDENDUM TO DRIVER TRAINING SCHOOL AGREEMENT: LEARN TO DRIVE LTD Driving School, LLC, hereinafter referred to as The Driving School agrees to provide applicant hereinafter referred to as Student, 24 hours of classroom and 8 hours practical driving instruction based on the Ohio Driver Training Curriculum. State of Ohio regulations require The Driving School to make available all driver training within 6 months of the signing of the contract. Should Student be unable to attend available training sessions offered, The Driving School is relieved of the aforementioned obligation. Regulations prohibit more than four hours of training to be conducted in one day. The Student is required to obtain a valid temporary driving permit, successfully complete the classroom portion, and pay tuition in full prior to scheduling the practical driving portion of the training. The Driving School may loan the Student a textbook for use during enrollment at the driving school. A fee of $40.00 will be charged for any book not returned or returned damaged. If the Student must cancel a scheduled driving appointment, cancellation must be made 6 hours prior to the scheduled appointment. Failure to do so may result in an additional fee of $ The same fee shall apply should the Student fail to appear for, or for any reason not be prepared to take the scheduled lesson. Emergency situations will be determined on an individual basis. Students unable to come to class at the appointed time will be required to make-up the missed time which coincides with the session missed. The Driving School reserves the right to deny the Student admittance to any class if the student is tardy. The Driving School reserves the right to cancel this agreement, should the Student's conduct indicate a lack of responsibility deemed necessary by The Driving School to safely operate a motor vehicle. Destruction of property, or the possession, distribution, or use of any tobacco product, alcohol, or drug of abuse is strictly prohibited. Refund Policy: Should this agreement be cancelled under such circumstances, all fees may be pro-rated, based upon hours of services provided prior to cancellation. The Driving School shall furnish a certificate of completion to all Students under the age of eighteen years, who successfully complete the course. Completion, as defined by the State of Ohio, refers to the completion of the required number of hours, the Student's good faith effort having been exercised during the practical driving portion, and the attainment of a score equal or greater than 75% on the performance measurement. Should Student fail to achieve the minimum passing score on the final exam additional classroom attendance may be required. Commercial driving schools are licensed by the Department of Public Safety through the Ohio Driver Training Program, 1970 W. Broad St., Columbus, Ohio Valuable information for parents and teens is available on the internet at under Parents and Teens. I have-read and understand and have received a copy of this agreement. Signature of Driving School Official Date Signature of Parent I Guardian Date Signature of Student Date

4 EMERGENCY MEDICAL AUTHORIZATION STUDENT NAME HOME PHONE ADDRESS PURPOSE: To enable parents and guardians to authorize the provision of emergency treatment for children who become ill or injured while under school authority, when parents or guardians cannot be reached. PART I OR II MUST BE COMPLETED Part I To Grant Consent: In the event reasonable attempts to contact the following have been unsuccessful: Name Phone Parent/Guardian Nearest Relative or Grandparents I hereby give consent for the administration of any treatment deemed necessary by: Family Physician 1 Family Dentist 2 In the event the designated preferred physician is not available, I hereby give consent for treatment by any licensed physician or dentist. I hereby give consent to allow my child to be transferred by Emergency Medical Services or Yes no to or any hospital reasonably accessible. This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists concur in the necessity for such surgery. Please state all facts which concern the child's medical history including allergies, medications being taken, and any physical impairment to which a physician should be alerted: Signature of parent/guardian Address DO NOT COMPLETE PART II IF YOU COMPLETED PART I Part II Refusal To Consent: I do not consent for emergency medical treatment of my child. In the event of Illness or Injury requiring emergency treatment, I wish the school authorities to take no action or to: Signature of parent/guardian Address (OVER)

5 LEARN TO DRIVE LTD 110 East High Street, Bryan, OH (419) DRIVING PORTION PROCEDURE TO FOLLOW FOR THE BEHIND - THE - WHEEL PORTION OF DRIVER TRAINING 1. Students will not be scheduled to drive until a temporary permit is obtained. All classroom hours and assignments must be completed before driving will be scheduled. Also all fees must be paid. 2 Students who are eligible to take the driving test if they had driver training completed will be scheduled first to begin driving. In other words, they are 16 years of age, and had their permit for 6 months. Don't forget that at the time of testing the 50 hour affidavit must be presented to the examiner (signed and notarized). 3 If the temporary permit is obtained (permit test passed), after class started call the following telephone number (419) to report that the student has a permit. A recorder is on if no one is in the office. Leave your name, telephone number, and the message that a permit has been obtained. The call will be returned. Do not hang-up without leaving a message. 4 Please do not ask for the number that appears on the students "Certificate of Completion". We are not allowed under commercial driving school rules to give that information to you before the student has completed driver training. They will receive the certificate at the last driving session if they pass all the classroom and behindthe-wheel requirements. WRITE DIRECTIONS TO YOUR HOME IN THIS AREA NAME BIRTH DATE PHONE #