APPLICATION AND AGREEMENT
DATE ________________ AGREEMENT NO.__________
I hereby make application to AL?S SAFE DRIVING ACADEMY.
Choose only ONE (please check) of the following methods of payment:
____ I agree to pay a fee of $350 for a complete course of driving instruction to include 30 hours of classroom instruction, 6 hours observation in the car, and 6 hours behind-the-wheel instruction. Additional instruction, if required, at $50 per hour of classroom instruction or $50 per hour of behind-the-wheel instruction is available.
____ I agree to pay a fee of $365 with the first installment of $185 due the first day of class and the last installment of $180 due the first day of behind the wheel.
____ I agree to pay a fee of $380 with the first installment of $130 due the first day of class, the second installment of $125 when behind the wheel begins, and last installment of $125 due the last day of behind-the-wheel instruction.
Students that miss scheduled driving appointments will be charged $50 per hour missed.
The school will not refund any tuition or part of tuition if the school is ready, willing, and able to fulfill its part of the agreement.
This school is designed to enhance traffic safety education and does not guarantee anyone a
This agreement constitutes the entire contract between the school and the student and no verbal statement or promise will be recognized.
Student Signature and Address
Parent Signature and Address
Please note the potential surcharge regarding GASOLINE PRICES. You will find this on the Gas Surcharge Page.