FDS Adult Contract PDF

Fulshear Driving School Adult Drivers Education Contract

LAST NAME*

FIRST NAME*

MIDDLE NAME

Date of Birth*

Date

Email Address*

example@example.com

Phone (Please use a number you can be reached at)*

Home Address*

Address

Street Address Line 2

City State Zip

Pick an amount of lessons or Classroom. If you want to add classroom with our driving lesson packages, please leave a good phone number to call so we can call for payment.*

6-Hour Online Classroom Only1 Hour Driving Lesson w/ Road Test3 Hours Driving Lesson w/ Road Test5 Hours Driving Lesson w/ Road Test7 Hours Driving Lesson w/ Road Test10 Hours Driving Lesson w/ Road Test

Additional Possible Fees: Return Check Fee ($35.00), No Permit/No Show Fee ($35), Administrative Fee ($50 Also, if a scheduled drive is not canceled at least 24 hours before the scheduled appointment, a late cancellation fee of $35.00 will apply.

Tuition payments must be made before scheduling any driving lessons. This agreement constitutes the entire contract between the school and the student and no verbal assurances or promises not contained herein shall bind the school or student. The driver education school maintains vehicle insurance as required by transportation code, Chapter 601, and uninsured or underinsured coverage.

REFUND/TERMINATION/DISCONTINUED COURSE POLICY:

Refunds are based on the period of enrollment computed on the basis of course time expressed in clock hours. The effective date of the termination for refund purposes will be the earliest of the following: (a) the last day of attendance, if the student is terminated by the school; or (b) the date of receipt of written notice from the student. If tuition is collected in advance of the entrance and, if a student does not enter the school, terminates enrollment, or withdraws, the school: (a) may retain not more than $50.00 as an administrative expense; and (b) shall refund that portion of the behind-the-wheel tuition and fees that correspond to services the student does not receive. (CONTINUED ON NEXT PAGE)

Adult Drivers Education Contract

The school shall refund items of extra expense to the student, including instructional supplies, books, laboratory fees, service charges, rentals, deposits and all other charges not later than the 30th day after the effective date of enrollment if: (a) the extra expenses are separately stated and shown in the information provided before enrollment; and (b) the student returns to the school any property in the student's possession

A full refund of all tuition and fees is due and refundable in each of the following cases:

(a) When an enrollee is not accepted by the school (b) if the course of instruction is discontinued by the school at this location; or (c) if the student's enrollment was procured because of any misrepresentation in advertising, promotional materials of the school, or misrepresentation by the owner or representation of the school.

Please Initial*

I have been furnished a copy of the school’s cancellation and refund policy; and school regulations pertaining to absence, progress, and rules of operation and conduct. (This contract has all policies listed, please print for your own records)

Please Initial*

This agreement constitutes the entire contract between the school and the student, and assurances or promises not contained herein shall not bind the school or the student

Please Initial*

I further realize that any grievances not resolved by the school may be forwarded to Texas Department of Licensing and Regulation Attention: Enforcement Division PO BOX 12157 Austin, TX 78711

Printed Name of Student*

Signature of Student*

Date*

Date