Teen Sign Up - GoodCARmaDrivingSchool.com

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Teen Sign Up Form

About you

* Indicates required field

eMail Address *

Student's Name *

First

Last

Student's Phone Number *

Date of Birth *

Age *

Gender *

Name of Family Participant *

First

Last

Relation to Student *

Phone Number *

Street Address *

Line 1

Line 2

City

State

Zip Code

Country

Driver Education Completion Certificate Number / Date / Name of School *

Driver Training Completion Certificate Number / Date / Name of School *

Permit / License Number *

Permit / License Date Issued *

Permit / License Expiration *

During behind-the-wheel instruction, I will possess an original (not duplicate) and valid: *

California Learner's Permit California Driver's License Out of State / Country Driver's License Good CARma Driving School Issued Student License

Please list your goals, personal needs, any special circumstances, learning differences or physical impairments *

Tell friends & family that you found the best driving teacher !! Referrals are greatly appreciated ;) What is the first & last name of the person to thank for referring you to GoodCARmaDrivingSchool? *

Please provide the first & last name of the student who is connected to your referral. (If the referring person had not been a student.) *

Policies

1) Appointment times are approximate (30 minutes typical leeway). *

All involved parties have read, understand and agree.

2) Twenty-five (25) hours notice required for cancellations or other changes. *

All involved parties have read, understand and agree.

3) Payments must be made minimum of twenty-five (25) hours in advance of scheduled appointment times and are NOT refundable and NOT transferable but will be credited towards next appointment. *

All involved parties have read, understand and agree.

4) Students must communicate personal needs and limitations. All of the information disclosed must be accurate to receive proper service and it is kept confidential. *

All involved parties have read, understand and agree.

5) It is strongly recommended that any parties involved in the learning process attend at least one lesson (preferably the first) in order to reinforce and maintain a constant in good driving practices. *

All involved parties have read, understand and agree.

6) Please refer your friend and family. Referrals are greatly appreciated! *

All involved parties have read, understand and agree.

7) Information taught to me must be used in an intelligent and responsible manner. Good CARma Driving School and Colleen Kelly do not guarantee that student will drive safely. Students are responsible for their own actions. *

All involved parties have read, understand and agree.

Scheduling
Please allow a 3 hour grace period for a 2 hour appointment for approximate start/finish. No lessons given Tue/Fri.

Lessons are listed in 2 hour increments but can be customized to 3 or 4 hours except for Driver Training.
All lessons include StreetSurvival techniques (defensive driving skill and practices applicable to current conditions)
Pick up / drop off from home or other location within Good CARma Driving School boundaries.

Please select the month you wish to start: *

Please select the date *

What days work for you? *

Sunday Monday Wednesday Thursday Saturday

What starting/ending times work for you and other useful information? *

Please complete all relevant information before submitting.

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