Adult Driver Form

Adult Student Registration Form

Fill out the form carefully for registration
Student's First Name*
Middle
Last Name*
Address*
City*
Zip/Postal Code*
Date of Birth*

MonthDayYear
Date
Permit #*
Permit Expiration Date*

MonthDayYear
Date
Phone Number*
Email Address*
Phone (Emergency Contact)*
Please enter a valid phone number.

Adult Student Contract
Course Provisions

All Cities Driving School, Inc. Is State of Michigan Certified Driver's Training to provide for teens and adult and will provide behind-the-wheel instruction in a dual controlled automobile that is fully insured (coverage includes the student and the instructor) for adults that ar 18 years and older.

Terms

1. The total cost of the behind the wheel driving session is dependent upon that variety of packages and is payable at the time of scheduling. There is no charge for any materials or supplies provided during the course.

Packages prices listed below (ALL PACKAGES ARE OFFICE PCKUP AND DROP OFF)

$140 - 2 hours main road only
$150 - 2 hours road test evaluation includes forward parking, back-up parking, parallel parking, and main road, no expressway (Must have driving experience)
$160 - 2 hours road test evaluation includes forward parking, back-up parking, parallell parking, and main road, expressway (Must have driving experience)
$200 - 2 hours expressway (Must have driving experience)
$300 - 4 hours road test evaluation includes forward parking, back-up parking, parallell parking, and main road, no expressway (Must have driving experience)
$320 - 4 hours road test evaluation includes forward parking, back-up parking, parallell parking, and main road, expressway (Must have driving experience)
$420 - 6 hours road test evaluation includes forward parking, back-up parking, parallell parking, and main road, no expressway
$540 - 8 hours include main road, all parking and expressway
$600 - 10 hours include main road, all parking and expressway
$700 - 12 hours include main road, all parking and expressway
$750 - 14 hours include main road, all parking and expressway
$830 - 16 hours include main road, all parking and expressway

2. In the event of a driving appointment cancellation, if failure to cancel 24 hours in aIn the event of a driving appointment cancellation, if failure to cancel 24 hours from the time of your lesson in advance, a loss of a paid driver will occur. Cancellations cannot be made over voicemail, must be made 24 hours in advance, and must speak to an actual person. (IF THE STUDENT IS LATE FOR THEIR LESSON THE INSTRUCTOR WILL ONLY WAIT 15 MINUTES PASS THEIR TIME).
3. Methods of payment accepted are cash and credit card.
4. For each driving session contains 2 Hr. per session. A mandatory 10 min break in between 2 Hr. sessions is added and is from 2 Hr. session.
5. If you pick up a package and turn on that you don't have any driving experience and the package required a driving experience. You'll be only getting main raod driving.
6. Prior to receiving on-road driving instruction the adult student must have a temporary instruction permit.
7. Student home pick up and drop off additional charge will be added to each drive $4.00 per mile.

Refund Policy

If for any reason you decide to withdraw from the course before its completion, there will be no refund after the customer signs this contract.

Required Language

NOTICE - This provider is required to be certified by the Secretary of State. If you have any complaint, which you cannot settle with this provider, write: Michigan Department of State, Driver Programs Division, and Lansing, MI 48918. Completion of driver education instruction does not guarentee qualification for a driver license.

In signing this contract, I do herein affirm that I understand, and agree with the terms and conditions described.
Signature

Clear

Payment
Select Package*
Total

My Products*

USD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Adult Student Registration Form

Adult Student Contract

Payment