Registration Form
Student's Full Legal Name (Last, First, Middle):
_________________________________________________________________________________
Address: __________________________________________email:
Phone: parent/gardian_________________________ Phone: student___________________
High School:_____________________ Date of Birth:_______ Start date :_________________
**********************************************************************
Superior Driving Academy Policy and Contract
1. All appointments are considered as binding. Student is obligated to pay fees for classes and or behind the wheel (BTW) as stated in this contract.
2. Class and BTW package: minimum of $375.00 due before getting e-blue card, paid in full on the 1st BTW. BTW only: minimum of $125.00 due to get e-blue card, paid in full on the
1st BTW. Class only: $250.00 due to get letter of completion.
3. There will be a $10.00 charge for replacement of drivers manual or
to process a refund.
4. Contract may be cancelled at any time by student with notice in writing.
5. In the event of student cancellation of BTW or no show, there will be a $50.00 charge unless 24 hour notice is given. Any changes to lessons scheduled for Saturday, Sunday or Monday must be
made BEFORE NOON the Friday before.
6. Student must have permit with them for BTW or be charged $50.00 for no show.
7. There will be a $50.00 charge for returned checks. NO OUT OF STATE CHECKS OR CREDIT CARDS ACCEPTED.
8. CONTRACT AND PRICES ARE GOOD FOR ONE YEAR FROM DATE OF CONTRACT. AFTER ONE YEAR, REMAINING HOURS WILL BE GIVEN AT CURRENT PRICES. There will be no refunds after a first lesson is taken, or after 1
year, this includes classroom and BTW.
9. During a pandemic, by attending class or behind the wheel you acknowledge an increased risk to exposure and you knowingly and voluntarily waive your right to hold Superior Driving Academy
liable for harm or damages caused by this increased risk.
10. This contract is valid until student turns 18, then remaining hours will be given at current adult prices. After 18 there are no refunds. This is the full agreement between Superior Driving
Academy and Student, no verbal agreement is recognized.
Superior Driving Academy agrees to give (students name) __________________________ the following:
_____ hours of classroom training _____ hours of behind-the-wheel training.
Total Fee: ______________________ Amount Paid: __________________________
I have read and understand the above Superior Driving Academy policy,
Student Signature: _____________________________________________________________
Parent Signature: ______________________________________________________________