Driver Training Student Contract

Driver Training Student Contract

Please fill out the form in it's entirety. By submitting this form you are agreeing to all terms outlined in the contract below. Registration for this course will not be complete without full payment.
Full Name (as shown on Learner's Permit)

First NameMiddle NameLast NameSuffix
Street Address
Address Line 2
ex. Apt #, etc
City
State
Zip Code
Date of Birth*

MonthDayYear
Driver License # *
No International License accepted.
License Expiration Date*

MonthDayYear
Date
License Issue Date *

MonthDayYear
Date
Contact Phone Number*
Emergency Phone No. (Need different # than contact number)*
E-mail*
example@example.com
Course Dates*
Upload a copy of student's Driver's License*

Cancelof
Please read and agree.
Cancellation Policy

We know your time is valuable, and ours is too. Out of respect for our instructors and other students, we ask that you give us at least a 24 hour notice if you need to cancel an appointment or reschedule.

You may call us during office hours (Tues-Friday 9-5) at (229)420-3590. After hours we may be reached by email at docodrivingschool@gmail.com

We DO NOT offer refunds. If you do not reschedule within at a 24 hour notice, you will lose any payments you have already made.
Please Check Calendar To Request Dates Below, Special Accommodations or Any Other Questions...
Signature of Student*

Clear
Signature of Parent or Guardian (under age 21 students)

Clear
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Driver's Education
$300.00
Item subtotal:$0.00



Processing/Handling Fee
$13.00



Pick Up If you require a driving lesson pickup, select the appropriate pick-up fee from the list provided based on the distance to your location from the school.
$25.00 QuantityPick Up Fees



Road Skills Test *Must have PERMIT for a year and a day UNDER 18. *Must complete 6 Hours of Private Lessons with OUR school for qualification.
$50.00



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Driver Training Student Contract

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