Enrollment Contract - 6 Hr Adult Driver Education Class
Central Park Driving School C1647
7115 Blanco Rd Ste 114
San Antonio, Texas 78219
(210) 344 – 4351
(210) 344 – 3886 FAX
Please enter the following information:
Student’s Full Legal Name:
Must be typed exactly as it appears on the student’s original birth certificate.
Student’s Date of Birth:
JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 01020304050607080910111213141516171819202122232425262728293031 20192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919
Student’s Age (at the time of this signing):
Primary Phone : HomeStudent CellMom CellDad CellOther
Alternate Phone : HomeStudent CellMom CellDad CellOther
Student’s Driver License #: State:
Classroom instruction begins Please Select Your Class DateApril 27th 2019 at 12 p.m.May 4th 2019 at 8:30 a.m.May 11th 2019 at 12 p.m.May 18th 2019 at 8:30 a.m.May 25th 2019 at 12 p.m.June 1st 2019 at 8:30 a.m.June 8th 2019 at 12 p.m.June 15th 2019 at 8:30 a.m.June 22nd 2019 at 12 p.m.June 29th 2019 at 8:30 a.m.
All classroom instruction must be completed within 180 days from the scheduled start date of class. I Understand
Course Length : 6 Hrs | Course Rate: $125
All tuition and fees paid are due and refundable when:
Refunds shall be completed within 30 days after the effective date of termination.
DRIVER EDUCATION ENROLLMENT POLICIES
A full refund will be made to any student who cancels the enrollment contract before midnight of the third, excluding Saturdays, Sundays, and legal holidays, after the enrollment contract is signed by the prospective student, unless the student has completed the course and accepted a certificate of completion during that period.
A student must attend the complete 6 clock-hour course including all phases of the approved school curriculum and final exam in order to receive a certificate of completion. Any time missed must be made up.
GRADING & PROGRESS POLICY
Mastery is a prerequisite to awarding a grade of 70 or above. Evidence of mastery shall be determined by one or more of the following methods: 1) unit tests; 2) written assignments; 3) skills performance checklist; and 4) comprehensive examinations of knowledge and skills.
RULES OF OPERATION & CONDUCT
A student or prospective student may be dismissed or barred from the class for tardiness, drunkenness or consumption of alcohol on the premises; rude, vulgar or disruptive behavior in the classroom; smoking or using tobacco products; or being generally inattentive (sleeping, reading, etc.) during class. Students terminated for violation rules of conduct may be readmitted at the discretion of the school director.
Leave this empty:
If you have questions about the contents of this document, you can email the document owner.
Document Name: Enrollment Contract - 6 Hr Adult Driver Education Class
Agree & Sign