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
Address

Street Address

Street Address Line 2

CityState

Zip Code
Contact Phone Number*

Area CodePhone Number
Emergency Phone No. (different # than contact number)*

Area CodePhone Number
Date of Birth*

MonthDayYear
DL # (only state license)
No International License accepted.
E-mail*
Course Dates*
Special Request/comment
Upload a copy of student's Driver's License

Browse Files

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.
1. The first time a student misses an appointment or is late, we will make a note in your file. If the student is late after 15 minutes with no communication, the lesson will be forfeited.
2. All future missed or rescheduled appointments will incur a $25 fee.
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

Please note, we do not offer refunds. However, if you give us at least a 24 hour notice of your need to cancel or reschedule, we will credit your payment toward another session. However, if you do not cancel with at least a 2 hour notice, you will lose any payments you have already made.
Type a question
Signature of Student*

Clear
Name of Parent or Guardian of under age 21 students

First Name Last Name
Signature of Parent or Guardian (under age 21 students)

Clear
My Products
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Driver's Education$285.00

Item subtotal:$0.00

Processing/Handling Fee$13.00

Total $0.00
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Driver Training Student Contract

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