Teen Consent/ waiver form

Parental Consent/ waiver Form (Teen)

FORM D-102
Form Instructions

• This form is for students aged 16 and 17 only.
• It must be completed by the student’s parent or legal guardian.
Student Full Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Student permit Number*
Parental Consent for Driver Education Training

PLEASE READ THIS CONSENT CAREFULLY ✅I hereby acknowledge and understand that DELTA DRIVING SCHOOL LLC will provide behind-the-wheel training and/or in-person classroom instruction for my son/daughter, as named above on this form. The behind-the-wheel training will be conducted one-to-one by Connecticut-licensed professional instructors. During these sessions, my son/daughter will be driving on public roads and sharing the roadway with various types of vehicles, with the goal of improving their defensive driving skills and techniques. I grant full permission for my son/daughter to participate in both the behind-the-wheel and classroom training sessions as offered by DELTA DRIVING SCHOOL LLC
Acknowledgment of Risk and Liability Release

PLEASE READ THIS AGREEMENT CAREFULLY ✅ I UNDERSTAND THAT ALTHOUGH DELTA DRIVING SCHOOL LLC WILL TAKE REASONABLE SAFETY PRECAUTIONS DURING BEHIND-THE-WHEELTRAINING, THERE ARE BOTH KNOWN AND UNANTICIPATED RISKS WHICH COULD RESULT IN SEVERE PERSONAL INJURY, DEATH OR PROPERTY DAMAGE RELATING TO MY SON’S/DAUGHTER’S OPERATION OF THE SCHOOL’S VEHICLES. I hereby forever release, waive and indemnify DELTA DRIVING SCHOOL LLC, its professional driving instructors, and all of its sponsors and partners, including, but not necessarily limited to, all officers, directors, employees, agents, parent companies, affiliates, successors and assigns of each of the aforementioned, from and against any and all claims, losses, damages, costs, actions, judgments, expenses and liabilities of every kind and nature whatsoever, including, but not limited to, any claim or demand on account of injury to the Student or resulting from the death of the Student, whether caused by the negligence of DELTA DRIVING SCHOOL LLC, the professional driving instructors, the sponsors and partners or otherwise, while my sone/ daughter is operating the driving school’s vehicle.
CLASSROOM / DRIVINING SESSIONS CONDUCT POLICY

Classroom Conduct Policy

✅ Students are expected to participate fully and respectfully in all classroom sessions. Unruly, disruptive, or inappropriate behavior will not be tolerated. Any student who fails to understand or comply with the established policies will be removed from the session.

Driving Lesson Essentials Checklist Make sure to bring:

✅ Permit – Required for legal practice

✅ Sneakers – Comfortable, closed-toe shoes for safe driving

✅ Payment – As agreed with the instructor or school

✅ Glasses or Contacts – If you need corrective lenses to drive

Driving Lesson Safety Policy

By registering for driving lessons with Delta Driving School, students confirm the following:

✅ Medical Fitness: They do not have any medical condition that would impair their ability to safely participate in behind-the-wheel instruction.

✅ Substance Use Prohibited: Students must not be under the influence of drugs, marijuana, alcohol, or any medication that may inhibit their driving abilities during lessons.

✅ Instructor Authority: If an instructor suspects a student is under the influence for any reason, the lesson will be canceled immediately. The student will be charged for the session and will no longer be permitted to continue driving lessons with Delta Driving School.

✅ Safety First: The safety of our students and instructors is our highest priority.

Vehicle Camera Policy

✅ For the safety and training of all students and instructors, it is understood that Cameras (visual and audio) are installed in all driving school vehicles. These devices are used strictly for instructional review, safety monitoring, and quality assurance.🔒 All recordings are handled in accordance with privacy and safety standards. By participating in driving lessons, students acknowledge and accept the presence of these cameras.

Compliance Policy

Delta Driving School maintains high standards for safety and conduct. As such:

✅ Right to Refuse Training: Delta Driving School reserves the right to refuse or discontinue driving instruction for any student who fails to comply with its rules and regulations.

✅ Student Responsibility: It is the student's responsibility to understand and follow all guidelines provided by the school.

✅ Safety First: This policy ensures a safe and respectful learning environment for all students and instructors.
Parent/ Legal Guardian Full Name*

First NameMiddle NameLast Name
Parent's/ Legal Guardian Phone Number*
Please enter a valid phone number.
Consent*

By signing below, both the student and parent/ legal guardian acknowledge that they have reviewed the terms and conditions, rules and regulations set forth by Delta Driving School LLC, and they agree to all.
Parent's Signature*

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Parental Consent/ waiver Form (Teen)

Parental Consent for Driver Education Training

Acknowledgment of Risk and Liability Release