RIGHT TURN DRIVING SCHOOL
22065 West Rd. Woodhaven, MI 48183
Phone (734) 676-TURN (8876)
Provider Certification # P000213 Program # __________
Office Hours: Tuesday, Thursday, & Friday 3:00pm- 6:00pm
Visit us at: Right Turn Driving
SEGMENT TWO TEENAGE DRIVING CONTRACT
**Print name as shown on Birth Certificate
Name ______________________________________________ Date of Birth _____________ Age ________
FIRST MIDDLE LAST
Parents/Legal Guardian Name__________________________________________
Phone Number _______________________ Drivers License # _______________
Street Address ______________________________________ City __________________ Zip Code _______________
Terms of Contract
The parent or guardian authorizes the student to take part in the program on the basis that the student meets the physical requirements specified by law for issuance of a motor vehicle operator’s license. For a student to take part in Segment 2, verification must be received that the student has held a Level 1 license for a minimum of 3 continuous months and completed a minimum of 30 hours of driving (including 2 hours at night) with a licensed parent or guardian (or parent designee) on a level 1 license.
The dates for this course are ____________________________________. This course consists of 6 hours of classroom instruction and state approved written tests on defensive driving. The instruction shall not exceed 2 hours per day. Students that successfully pass the course will receive a Segment 2 certificate of completion. All classroom instruction will be held at 22065 West Rd., Woodhaven, MI 48183.
A score of 70% on the state test is required to pass this course.
The total course fee of $50.00 is due at registration. We accept cash, check, money order, or credit card(with a fee). There will be a $25.00 charge for any lost or damaged textbooks. There will be a $20.00 charge for all returned checks.
Refund Policy
If a student has started the class there will be no refund. If a scheduled start date/time of class is cancelled or postponed for any reason without a minimum of 72 hours notice from the first day of class, a $30.00 charge will be assessed. If the student has not started the class all monies paid will be refunded less a $10.00 registration fee.
By signing below, I agree that I have read and understand the provisions of this contract.
__________________________________________ __________________________________________
Student Signature Date Parent/Guardian Signature Date
__________________________________________ __________________________________________
school owner Date payment received
NOTICE: This school is required to be licensed by the Michigan Department of State, Programs Operations Division. If you have a complaint which you cannot settle with this school, write: Michigan Department of State, Program Operations Division, P.O. Box 30163, Lansing Michigan 48909-7663. Completion of driver training instruction does not guarantee qualification for a driver license.
The above said property is leased through Tel(G Associates
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