The Driver Academy
102 Lee Avenue
Waycross, Georgia 31501
(912) 490-1462
www.thedriveracademy.net

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SOUTHEASTERN DRIVER ACADEMY.LLC

dba THE DRIVER ACADEMY

102 Lee Avenue

Waycross, GA. 31501

912-490-1462

NAME____________________________________________________________________                                                            

                        Last                                       First                                                  Middle

                                                                                                                                                                                                               

ADDRESS _________________________________________________________________                                                            

                                                                                                                                                                                                               

_________________________________________________________________________                                                             

City                                                        State                                                        Zip Code

TELEPHONE NO.  (_______)  _______________- _____________________                                                                                     

                                                                                                                                                                                                               

EMER. PHONE NO   (_______) _____________-_____________________                                                                                      

                                                                                                                                                                                                                

DATE OF BIRTH ____________________________________                                                                                                             

 

DRIVER LICENSE # GA:  ______________________________ LICENSE EXPIRATION DATE _______- ________ - _______________

AMOUNT PAID FOR COURSE:  $____________              [ ] CASH     [ ] CHECK    [ ] CREDIT CARD____________________3% Fee added to class.

I, the undersigned student, agree to complete the above course of instruction for a fee of:

 

___ $449..  Includes 30 hours of classroom and six hours behind the wheel instruction instructed by THE DRIVER ACADEMY Staff.

                       

___ $399.. “EARLY BIRD” Registration.  Deadline varies depending on schedule of class.  Call 912-490-1462 for details

 

___ $349.. Includes six hours of behind the wheel instruction only by THE DRIVER ACADEMY Instructor.

                   If additional hours requested, a fee of $60 per hour is charged.

 

___ $169.. Includes 30 hours of classroom instruction only taught by THE DRIVER ACADEMY Staff.

 

___ YMCA MEMBER SAVINGS:  $25 OF “EARLY BIRD” REGISTRATION, $50 OFF REGULAR 30/6 CLASS, $25 OFF DRIVING, $15 OFF CLASSROOM

 

It is understood that THE DRIVER ACADEMY is licensed by the Georgia Department of Driver Services in accordance with Georgia Law title 43-13-1, (The Driver Training School and Commercial Driver School License Act) and each Instructor is certified by the Department of DDS.

 

The student’s successful completion of the above named course(s) requires each of the following:

1.        Punctual attendance for all class and/or driving sessions.

2.        Reasonable attentiveness and participation in all classes.

3.        Make up classes for missed sessions. A fee of $25 will be assessed for missed class or driving instruction.

4.        Successfully passing a written final exam with a grade of 70 or above to complete class instruction

5.        Successful demonstration of basic driving maneuvers.

THE DRIVER ACADEMY will not refund any tuition or part of tuition if the school is ready, willing, and able to fulfill its part of the contract. I understand that if I fail to comply with the terms and conditions of this agreement, I am in breach of contract and THE DRIVER ACADEMY will not be under any obligation to fulfill the terms and conditions of this agreement, and may at its option, terminate this agreement immediately. 

Instruction must be completed prior to issuance of a certificate of completion.

 

It is agreed that an owner, instructor, or employee of THE DRIVER ACADEMY shall not give the impression directly or implied to a student that upon completion of the course the student will receive a license to operate a motor vehicle.  However, immediately upon completion of the course as described above THE DRIVER ACADEMY agrees to provide certification of said completion to the student.

 

THE DRIVER ACADEMY has and will maintain for the protection of the contractual rights of the student a performance bond in the principal sum of ten thousand ($10,000.) dollars for the students to be written by a company authorized to do business in the State of Georgia.

This agreement constitutes the contract between the above-named Driver Training School and the above named student and /or parent/guardian and no verbal statements will be recognized.

 

 

_______________________________________________________                     

Signature of Student                                                               Date                                    

 

_______________________________________________                      ______________________________________________________

 Signature of Parent or Guardian                                  Date                                Signature of THE DRIVER ACADEMY                                 Date

 

 

                                                                                                                                                                                                SDA 8-10-2013

SCHEDULE OF 30Hr. /6 Driving INSTRUCTION:

__ May 27, 28, 29, 30, 2014 -- 8:30AM-4:30PM
__ June 23, 24, 25, 26, 2014 --  8:30AM-4:30PM
__ July 21, 22, 23, 24, 2014 -- 8:30AM-4:30PM
__ December 29, 30, 31, 2014 AND Jan. 2, 2015 -- 8:30AM-4:30PM

CHILDERS YMCA 1634 PLANT AVE. WAYCROSS GA.
LOCATION OF CLASSROOM INSTRUCTION
CHECK DESIRED CLASS:
[ ] 30/6 CLASS    [ ] 6 Hr. DRIVING ONLY   [ ] CLASSROOM ONLY
SDA CONTRACT NUMBER:  SDA__________________________