Enrollment Contract - In-Car Driver Evaluation
Central Park Driving School C1647
7115 Blanco Rd Ste 114
San Antonio, Texas 78216
(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
Primary Phone : HomeStudent CellMom CellDad CellOther
Alternate Phone : HomeStudent CellMom CellDad CellOther
All evaluations are scheduled by appointment only. You must call to schedule your appointment.
Length of Evaluation: 30 minutes | Course Rate: $100
DRIVER EVALUATION ENROLLMENT POLICIES
Once an appointment is made, you must cancel at least 4 hours before the scheduled appointment time in order to avoid additional fees.
TERMS OF EVALUATION
Terms are defined as follows: CONTROL - your ability to make your car do what you want it to do, OBSERVATION - your ability to see what other traffic is doing and other things that may create problems in traffic, POSITION - your ability to drive in your lane, SIGNALING - your ability to use turn signals as required.
If assistance is needed in any area of control, observation, position, attention/distraction, situational awareness, traffic perception, or judgment it is our recommendation that this individual may be considered unsafe to drive at this time.
RULES OF OPERATION & CONDUCT
A student or prospective student may be dismissed or barred from an evaluation for tardiness, drunkenness or consumption of alcohol on the premises; rude, vulgar or disruptive behavior; smoking or using tobacco products; or being generally inattentive (sleeping, reading, etc.) during an evaluation. Students terminated for violation rules of conduct may be readmitted at the discretion of the school director.
RULES REQUIRING SPECIFIC ACKNOWLEDGEMENT
I have been furnished a copy of the school tuition/fee schedule; cancellation policy; and school regulations pertaining to terms of evaluation, and rules of operation and conduct. I further realize that any grievances not resolved by the school may be forward to : Texas Department of Licensing and Regulation Driver Education and Safety, PO Box 12157, Austin, TX 78711 - (800) 803-9202 (in state only) (512) 463-6599.
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Enrollment Contract - In-Car Driver Evaluation
Agree & Sign