Learner permit # ________________ (black 9-digit number at the top of your Learner’s Permit).
Legal name (please print neatly)__________________________________________________________
Address: ____________________________________ City: ______________
student cell #____________________Parent/Guardian cell # ________________
Birth date: ___/____/______ Age ___ Current School__________________
Driver or legal guardian agrees to pay Dave’s Driving School the total of $290. Payment is due on the first drive unless other arrangements have been made previously. Payment can be made with Venmo (Dave or Lisa McConnell @davesdriversed), cash, check, or credit card. However, there is an additional $10 charge for credit card use. There is also a $50 NSF charge for insufficient funds when using checks. Please make checks payable to Dave’s Driving School.
Student may not commence driving instruction without a current learner’s permit. They are only valid for one year and must be in the car with us when we are driving.
Dave’s Driving School provides six hours of behind the wheel instruction and will give extra driving time to anyone that doesn’t pass the final road exam without any additional charge.
Student must contact the instructor for drive times and pay a $20 fee if the drive time is missed and notification of cancellation does not provide at least 6 hours of notice.
Dave’s Driving School will provide insurance for each student if they complete their driving hours within one year of registration. Otherwise, a reinstatement fee is required of $100 to complete the driving portion.
. We understand and agree to the terms of this agreement.
Parents Signature ______________________ date____________
Student Signature ______________________ date____________
FOR OFFICE USE ONLY
Tuition: __________Date paid:__________ Receipt # __________________________________
Observation: Driving Instruction:
- Download the form from the link above (you will have to save it to view it).
- Print & sign the form (parent/guardian and student).
- Bring with you the first day we drive.
- If you have any questions, please call or text me at 801.602.6065