SunCoast Traffic School Driving Lesson Agreement and Student Information Sheet

SunCoast Traffic School Driving Lesson Agreement & Student Information Sheet

This form must be submitted prior to the first driving lesson, and must be completed by a legal parent/guardian unless the student is 18 or older.
After submiting this form, please call

(352) 279-6489 or (727) 255-9855

to schedule your driving lessons.

FYI...Our office is not equipped for walk-in service so please call!

We look forward to hearing from you!
As required by state law, all state licensed driving schools must disclose that they make no guarantees that a student will secure a driver's license as a result of the lessons being provided.
- After submitting this form, you will need to contact us to schedule lessons. (352) 279-6489 or (727) 255-9855.
- PLEASE TAKE SCHEDULING YOUR LESSONS SERIOUSLY! We understand that emergencies may occur, however, forgetting about a lesson you scheduled does not qualify as an emergency. 24 hour lesson cancellation is required to allow us to fill the lesson slot and provide pay to our instructors. We will refuse service to clients who abuse the cancelation policy.
- Payment is made to the instructor at the start of each lesson.
- A $45 fee applies to any lesson that is canceled less than 24 hours before the lesson start time.
- Lessons include pick-up and drop-off at prearranged locations.
- Students must have a valid permit or license in their possession to drive on all lessons.
- Instructors are on tight schedules so lesson time starts when the instructor arrives. Please be ready.
- Lesson rates are: $90 for 1.5 hrs - $120 for 2 hrs.
- Cash, Check, or Credit/Debit cards are accepted. A 3.75% service fee is applied to all Credit or Debit card use. Please contact the office prior to the lesson start so as not to reduce the lesson time. Instructors are not able to take credit or debit cards upon arrival.
  
  A $45 service charge will be applied to all returned checks. An additional $45 will be added for each week payment is delinquent until paid.
- Upon request, a lesson certificate for insurance discount purposes can be emailed to you after the final lesson.
- Good personal hygiene is required and instructors will refuse a student who presents less than "clean" including body odor. Do Not set lesson times following sports or other outdoor activities. We expect students to be clean as we do our instructors.
- Hard soled footwear is required for driving. No Flip-Flops, Loose Sandals, High Heels, or steel toed work boots. Tennis shoes or sneakers are recommended.
- Students and/or parents/guardians are responsible to disclose when making the first lesson, any medical conditions, disabilities or medications being taken that may affect the students ability to operate a vehicle safely.
- Vehicles are equiped with video and audio recording cameras for liability reasons. As a result, video and audio conversations of students may be captured during lessons. Full consent by both students and parents/guardians is implied anytime a student is in the vehicle.
Certification*

I am at least eighteen (18) years of age and fully competent; and I digitally execute this Agreement giving my full consent to be bound by its terms and conditions without exception.
Signature*
Date / Time*
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Students Full Name *

First NameLast Name
Date of Birth*

MonthDayYear
Date
Students Current Age*
Permit/License Number*
Issuing State*
Permit/License Issue Date*

MonthDayYear
Permit/License Expiration Date*

MonthDayYear
Does the student have any medical issues, disabilities or taking medications that may effect their ability to operate a motor vehicle safely?*
After submitting this form, call

352-279-6489 or 727-255-9855 to schedule lessons.

We look forward to hearing from you!
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SunCoast Traffic School Driving Lesson Agreement & Student Information Sheet