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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