Student Driver Agreement

Student Driver Name*

First NameLast Name

Student Licence Number*

I give permission for my student, {studentDriver3}, to drive the vehicle described below:

Car Make and Model*

i.e. Toyota Corolla

Colour*

i.e. White

Number Plate*

i.e. 881 TUI

Start Date*

Date

End Date*

Date

to and from schoolto authorised classes off campusto carry siblingsto carry as passengers the following student friends (a separate approval must be provided for each student (who is not a sibling) who is permitted to travel with this student driver.

Student Passenger Name*

First NameLast Name

YesNo

Student Passenger Name*

First NameLast Name

YesNo

Student Passenger Name*

First NameLast Name

YesNo

Student Passenger Name*

First NameLast Name

My student and I understand and agree that:

{studentDriver3} will adhere to all road rules and drive in a safe and responsible manner; and
{studentDriver3} will only use their car for travelling to and from school (they are not permitted to leave school grounds during recess or lunch); and
{studentDriver3} will complete a Year 12 Permission to Study at Home form if they wish to have permission to arrive late or leave early due to study periods; and
{studentDriver3} will attend all timetabled classes including but not limited to: Homeroom, Chapel, Wellbeing, etc. Failure to do so may result in Permission to Study at Home being revoked; and
{studentDriver3} will park in the designated student parking area at Noosa Adventist College at their own risk; and
{studentDriver3} will not carry other students as passengers to and from school without the permission of their parent/guardian and the passenger's parent/guardian.

Sanctions will apply where students fail to meet these obligations. These include but are not limited to - a warning, temporary or permanent removal of driving and/or Study at Home privileges, suspension, and parent meetings.

We understand and agree to abide by the spirit and the stated requirements of this policy.

Student Signature*

Parent/Carer Name*

First NameLast Name

Parent/Carer Signature*

Date*

Date

Application for Permission to Drive and Transport Passengers to School