Teen Contract

Father's Email *

Grade *

Student's Legal Name *

Student's Email *

Date of Birth *

LKN Driving School, LLC will exert its best efforts in teaching the student to meet the initial requirements of the NC Division of Motor Vehicles Examination, LKN Driving School, LLC cannot guarantee that the student will successfully pass a Department of Motor Vehicles (DMV) exam upon completion of the course.

This school is licensed by the State of North Carolina, Division of Motor Vehicles.

Signature and Date of Student *

Registration for the Classroom Instruction and/or Behind the Wheel Instruction must be paid before instruction begins. Payments accepted include: credit cards, check, and money orders. There will be a $40.00 service charge for all returned checks. No cash will be accepted.

I (The Student) have read and agree to the conditions stated above *

Agree

Disagree

LKN Driving School, LLC makes every effort to accommodate students and their schedules. Pick up/drop off is available within 25 miles and scheduling is done depending on availability and LKN Driving reserves the right to cancel or change schedules due to unforeseen circumstances such as weather, etc.

Mother's Name *

City *

Father's Cell *

Under this agreement, an instructor may not provide behind-the-wheel training to more than three individual students.

Father's Name *

Home Phone *

School Attending *

The school will not refund any tuition monies or any part thereof when actual services have been rendered.

This contract must be signed by the student and parent/legal guardian and returned to LKN Driving School, LLC by the first day of class. Fees must be paid in full in advance or any classroom instruction and/or Behind the Wheel Instruction.

Please list any medical, physical or mental health conditions which could be directly related to student performance in any aspect of the courses to be provided by LKN Driving School, LLC, including but not limited to diabetes, epilepsy, amputation, paralysis, hearing impairment, eye disease, corrective lenses, attention deficit disorder, and learning disabilities. If none, type N/A *

I (The Parent/Legal Guardian) have read and agree to the conditions stated above *

Agree

Disagree

Student's Cell *

Refund Policy: We are happy to refund tuition for classroom instruction, minus a $10 processing fee, if you have cancel classes two full days prior to the first class meeting. If a request for a refund is made less than two working days prior to the first class, the student will receive a refund equal to 50% of the paid class tuition. If a student cancels a Behind the Wheel session at least 24 hours before a scheduled appointment, the session will be refunded minus $50.00. If a Behind the Wheel Session is cancelled less than 24 hours before the scheduled appointment, no refund will be provided.

Attendance: North Carolina state law requires that student attend 30 hours of classroom instruction. Missed classes must be made up and completed during another session. Locations for makeup dates are subject to change and cannot be guaranteed. If students arrive 10 or more minutes late and leave class 10 or more minutes early, this will be counted as one-hour absence. A student automatically fails after 10 missed hours and will be required to retake the entire 30-hour classroom instruction course of driver education.

Parents/legal guardians and associated parties will be responsible for any damage to LKN Driving School, LLC materials and resources, including, but not limited to: classrooms, textbooks, resources, and automobiles other than the ordinary course of driving with an instructor.

Zip Code *

If you answered yes to the above question, list problem and date of last occurrence.

To the extent permitted by law, student and parent or legal guardian agree to indemnify and hold harmless LKN Driving School, LLC from any and all damages, expenses, fees, fines or other amounts occasioned by the acts of student at any time. It is acknowledged that this indemnification language is clear, concise and unambiguous and not unduly burdensome. It is also acknowledged that LKN Driving School, LLC would not agree to the terms of this Agreement unless such indemnification is granted by student and parent or legal guardian and that the same is an integral part of the Agreement. LKN Driving School, LLC is not responsible for the future driving performance of students enrolled in this program.

Has the student ever suffered from a seizure disorder, diabetes, heart trouble, paralysis, fainting, dizzy spells, or experienced problems with narcotics, other drugs, or intoxicating liquor or received treatment for substance abuse? *

Address *

The State of North Carolina mandates that all students receive (30) hours of classroom instruction and (6) hours of Behind the Wheel instruction. In regards to the classroom portion of the class, the student must be present for all (30) hours of instruction and receive a passing grade of 70% in order to receive a Driver Education Certificate from LKN Driving School, LLC. Upon passing the Behind the Wheel, the student/parent will receive a Personal Driving Plan (PDP) outlining strengths and weaknesses of the driver. The PDP doesn’t certify the students as DRIVER.

Mother's Cell *

Other Numbers

Signature and Date of Parent/ Legal Guardian *

Cancellation of a driving session(s) must be made at least 24 hours in advance of the scheduled sessions. Cancellations within the 24-hour period of the session will be charged $50.00.

Mother's Email *

This agreement constitutes the entire contract between the school and the student, and any verbal assurances or promises not contained herein shall bind neither the school nor the student.