Lucky Brake Driving School Registration and Contract

LuckyBrake Driving School,
501 N. Main St. Arrowhead Mall Suite 28

Muskogee, Oklahoma 74401 (918)348-2769 I AtoZSnow@gmail.com

Registration and Contract for Drivers Education Course (Saturday 11:00 am - 5:00 pm & Sunday 2:00 pm - 6:00 pm)
Class Date*
Full Name

The students name must be the same as on their Birth Certificate/Passport. This includes any Suffixes, Middle Names, Dashes, other symbols and numbers.
First Name*
Middle Name*
*If there is no middle name-Write N/A
Last Name*
Suffix
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School*
Grade Level at the time of course*
Age*
Sex*
Date of Birth (Student)*

MonthDayYear
Date
Parent/Guardian Name*
Parent/Guardian Phone*
Parent/Guardian Work Phone
Parent Email*
example@example.com
Type a question*

SignFriendInternet SearchFacebookOther
1. How did you hear about us? Sign

2. Training: Training consists of ten (10) hours of classroom instruction and six (6) hours of behind-the-wheel driving instruction. All drivers' training instruction shall be given by Driver Education instructors licensed by the State of Oklahoma. Behind-the-wheel driving instruction shall be given in a car equipped with instructor brakes. The student must complete all training time to receive a certificate of completion.

Students must complete the required 16 hours within one (1) year of the first day of class. Should the time expire prior to completion in the time allotted, students will be charged $60 per hour for the instruction time remaining. The school reserves the right to reschedule the class and/or behind-the-wheel instruction for

inclement weather or other unforeseeable circumstances.

3. Tuition: The student and/or legal guardian agrees to pay the sum of $320.00 with a $50 required, non-refundable deposit (subtracted from the total cost) to AtoZSnow Adventures LLC DBA Lucky Brake Driving School as tuition for a complete course in Driver's Training. Payment of
the deposit will be made online at the submission of this form (you will be redirected to a payment page) and the remain tuition shall be made in full by the first day of class. Payment options include cash, credit/debit card, and check. There will be a $50.00 charge assessed for all returned checks.

4. Refunds: The school will not refund any of the tuition if the school is ready and able to fulfill its part of this agreement, and is prevented from doing so by lack of cooperation of the student and/or the student's legal guardian.

5. Missed Driving Sessions: 24-hour notice is required for canceled driving sessions. Missed driving sessions cause a strain on the driving schedule. All sessions not canceled with at least 24-hour notice will be forfeited and a $25 rescheduling fee will be invoiced. It is at the school's discretion to make exceptions for emergencies and/or extenuating circumstances.
Parent/Guardian Initials*
By initialing, you agree/understand terms 3-5 and and will pay the $50 deposit after submission of this form.
6. Driving Instruction: Sessions will be set up with the instructor. Sessions will be completed in three 2 hour

7. Additional Driving: In the event additional driving time is desired, sessions may be scheduled at the rate of $60 / session.

8. Student Conduct: Student shall not display disruptive or disrespectful behavior at any time during driver training. Should this behavior be displayed, the school reserves the right to remove the student from the class and/or driving session. A refund of any tuition is at the discretion of the school.

**This document contains the entire contract between parties, and no changes or amendments thereto

shall be binding upon the parties unless made in writing.**
Signature*

Clear
Date*

MonthDayYear
Date
Deposit required to save you a seat*
prevnext( X )
Lucky Brake Driving School Course*Non-Refundable Deposit must be paid at the signing of this contract.
$50.00

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

LuckyBrake Driving School,

Full Name