EQUIP
DRIVER EDUCATION, LLC
LICENSED, BONDED, INSURED, CAREER DRIVER
DRIVER EDUCATION CONTRACT REQUIRED-
What class are you attending?
Please Select
Elk River Onsite (class meets at PACT Charter HS, location 7729 161st Ave NW, open to all) July 14th-18th, 21st-25th from 9 to 12 pm.
Online Class August 18th-21st, 25th-28th, Sept 1, 2 from 6 to 9 pm (Mon-Thurs).
Online Class October 13th-16th, 20th-23rd, 27th, 28th from 5 to 8 pm (no Fri).
Onsite at PACT Class November 10th-13th, 17th-20th, 24th, 25th from 3:30 to 6:30 pm (no Fri).
Online Class December 20th, 22nd, 23rd, 26th, 27th, 29-31, Jan 1st-3rd from 2 to 5 pm.
Student's Name (as it appears on birth certificate):
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First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthday:
*
-
Month
-
Day
Year
Date
Student's Number
*
Please enter a valid phone number.
School Name:
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Contact Parent/Guardian to contact:
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First Name
Last Name
Parent/Guardian's Phone Number:
*
Please enter a valid phone number.
Can we text you?
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Yes
No
Email
*
example@example.com
Referred by:
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Website
Signage
Referral
If someone referred you:
First Name
Last Name
FULL package cost $425.
Students receive 30 hrs. classroom training for $305, due by the 1st day of class. Classroom refund policy – no refund forclassroom after day one of class. Students receive three 2-hour behind the wheel drives (BTW) for $120 due whenscheduling the first drive. Behind the Wheel Refund Policy: cancellation after drives start will be prorated at $40 for eachremaining drive (s). This contract is valid for 12 months from the student obtaining their instruction permit. Once thecontract expires there is no refund for behind the wheel. BTW is not guaranteed to all students.
Class Conduct:
Missed classes can be made up at the next class session offered. Students must complete 30 hours of classroom training to receivethe Blue Completion Card (required to take the permit test).
I understand that by registering my student for driver education, we are acknowledging that we will abide by the following rules and regulations. Please click each statement to confirm that both you (the parent/guardian) and your student understand and agree to these terms.
*
Only the student and instructor will be in the vehicle. Driver education vehicles are equipped with audio and visual dash cameras.
Students can start driving with their supervising driver after passing the Knowledge Test to obtain an instructional permit,
Behind the wheel drives are scheduled online. Contact the office if you have any questions.
Drives will be cancelled when there are poor road conditions
A reminder text will be sent prior to all drives subject to legible/working numbers. Please respond back to text messages to confirm.
Students are responsible for the drives they schedule whether a reminder text is sent or not. No show/late fee $25.
Drives are cancelled and a $25 fee charged if the student arrives without their permit or corrective lenses (if required).
If you will be 10 or more minutes late, text the instructor 612-408-8095 to avoid cancellation and a $25 no show fee.
A 48-hour cancellation notice is required to avoid a $25 late cancel fee. If sick, cancellation is required by 6 am the day of the drive.
Students will receive a White Completion Card after finishing BTW 3, it must be presented at the license center to take the Road Test.
The Supervising Driver Log must be filled out correctly, times totaled and turned in at the License Exam Center to take the Road Test.
Medical disclosure required and confidential.
This is a legal bidding contract. By signing you agree to abide by the policies set forh.
Student's Signature
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Date
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Month
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Day
Year
Date
Parent's Signature
*
Date
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Month
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Day
Year
Date
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FULL payment for classroom and behind the wheel
$
425.00
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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