Quality Driving School
Of Virginia

Phone: (540) 827-4882	Fax: 1-831-305-3518

www.qualitydrivingva.com	Email: info@qualitydrivingva.com

Behind-The-Wheel Agreement

This agreement is entered into this  	 day of  	, 20 	 between Quality
Driving School of Virginia, located at 101 Duke St. Suite 212 Culpeper, Va. 22701 and:

Full Name:  	

Address:  	

City:  	 State:  	 Zip:  	

Phone:  	 Cell:  	

DOB:  	 Permit/License #: 	

Issue Date:  	 Male:  	 Female:  	

The contract is as follows:

1.   The Behind-The-Wheel course contains a total of 14 periods for students under 18 years of age. Each session is 2 periods long consisting of 50 minutes of driving
and 50 minutes of observation. (Total of 7 lessons that equal 14 periods); at the cost of $250 for Culpeper, Fauquier, Greene, Madison, Orange and Rappahannock counties. Prince William County and Stafford $250. Front Royal and Winchester areas the cost is $250. Private Student lessons are $50 an hour. (Minimum of 2 hours)
2.   Additional Behind-The-Wheel lessons are available at $50 per lesson. (Lessons are 60 minutes long, a minimum 2 lessons)
3.   Free pick-up is provided almost everywhere. If pick-up from home is not possible, we will pick a convenient meeting place for you.

4.   Students under 18 years of age are required to complete a state approved driver’s education program and or a Behind-The-Wheel course prior to receiving a
driver’s license. Students 18 years of age and older may hold their learners permit for 60 days in lieu of completing a driver training course.
5.   A minimum of 12 hours notice is required for cancellation of Behind-The-Wheel lessons. Failure to comply will result in a charge of $25 to the cost of lessons and it could take up to a week to reschedule a cancelled or missed appointment.
6.   It could take up to 3 to 4 weeks to complete a Behind-The-Wheel course, however a refund of all fees paid will be made, upon request, if the Driving School is not capable of or willing to begin instruction within 30 calendar days agreed to in the contract.
7.   Students will be notified by a phone call in the event the Driving School cancels classes. Cancelled or missed lessons will be your next lesson.  (If you miss lesson 3 your next lesson will be 3 and so on until all 7 of your lessons are done.)
8.   The Driving School does not guarantee that any student will pass the state license examination or that the student can secure a license or that the student will be guaranteed employment upon completion of any course.
9.   A $35 fee will be charged for returned checks; a $15 fee for replacement of lost certificates.
10. To retest for a license, there will be a $35 charge. A $25 fee will be charged for termination of contract along with cost of taken lessons.
11. Students are fully accountable for their conduct. They can be dismissed from the course for misbehavior without refund. No food, drink, smoking sleeping and cell phones must be turned off.
12. It is the responsibility of the student or in case of minor, the parent or legal guardian to report to the Department of Motor Vehicles of any concerns regarding the Driving School facilities, instructor behavior or quality of instruction at the Driving School.

We have read this contract and agree to abide by the conditions:

        It is also understood that if one on one instruction is done for under 19 years of age the                 observation time is still required.   

Student’s Signature:  	              Date:  	

Parent/Legal Guardian Signature:  	         Date:  	

Driving School Rep Signature:  	             Date:  	

It should be emphasized that successful completion of a driver education program and or a Behind-The-Wheel course does not and should not imply that your child is a safe, accomplished driver. During the course, students are instructed in the basic skills necessary for the safe operation of a motor vehicle. However, as with any skills, it is only with repeated practice that the skill is developed and perfected. Your continued work with your son/daughter is essential to further develop sound driving skills. It is mandatory that you provide your child with a minimum of forty five (45) hours of additional supervised Behind-The-Wheel driving conducted before program completion. As a parent, you must make the ultimate decision to determine if
your child is ready to handle the responsibility of operating a motor vehicle unsupervised.

I hereby request that my son/daughter  	, be enrolled in a state-approved Behind-The-Wheel program. I understand that completion of this course does not signify that his/her driving skills are proficient enough to operate a motor vehicle without adult supervision.

Signed:  	 Date:  	

DMV is committed to promoting transportation safety through the certification of Quality driver training programs. If you have comments or concerns about this course, call toll free number: 1-877-885-5790.

***********************************
Attention Parents / Guardians / Students:
 
If the student has sports, after school activities, work etc, and you know the schedule of these activities; we would appreciate if you could let the office know in advance.

We encourage parents to be involved in the student’s progress. So, please be involved and make sure your child is getting the full benefit of this service.

Please feel free to call the office or ask the instructor about your child’s improvements during the course. If you have any comments or concerns, please give us a call to discuss the issue.
Ph: 540-827-4882 or email us                                    info@qualitydrivingva.com

For Office Use Only: Amount Paid:  	
Check No:  	 Cash:      Money Order:  	  Credit Card:  	  Date: