SIX WEEK

DRIVER EDUCATION

Summer 2013

AT

EzraAcademy

119-45 Union Turnpike, Forest Hills, NY11375

Tel: 718-263-5500

Eligibility:

Students must be 16 by July 1st for the summer semester, September 1st for the Fall semester, February 10th for the Spring semester. Students should obtain a New YorkState learner’s permit (MV-100) from New York State Department of Motor Vehicles. For more information please log on to A permit is not required to begin the course; however, it must be obtained prior to scheduling your road test.

Course Information:

Students are required to attend sessions that consists of classroom instruction and driving instruction including observation with each student spending 6 hours behind the wheel. Attendance is mandatory for all enrolled students.

Absences/Make-Ups:

No more than 2 absences are permitted in either lecture or driving sessions. After the 2 absences, everything must be made up. It is the student’s responsibility to make arrangements with your lecture or driving instructor regarding make-ups.

Goal:

Students are taught in the classroom and in the vehicle by New YorkState accredited teachers licensed to provide a comprehensive introduction to their driving experience. The primary goal is to teach the safe, efficient operation of a motor vehicle and to develop the proper habits and attitudes needed for defensive driving. Besides the course hours, additional practice is highly recommended in order to bring a new driver to higher levels of driving performance.

Tuition/Refund:

Tuition is $525.00, excluding textbooks, which cost $40.00(optional). All forms of payment are accepted. Payments may be made by check, payable to EzraAcademy. Please include student’s name on the check. A $10.00convenience fee will be added for credit card payments. No refunds will be granted once classes begin. There will be no refunds for failure to complete the course.

Registration:

The student and or parent must attend one of the registration days listed below. Payment and signed application (see back) must be brought to registration. At registration, the students will be able to select their choice of lecture/driving day and time. It is not mandatory, but please bring in a copy of proof of date of birth. If applicable, please bring in your permit.

Early Registration Dates:

FRIDAYJUNE 7, 20131:30PM-2:30PMROOM 403

SUNDAYJUNE 23, 2013 12:00PM- 1:00PM ROOM 403

Final Registration Dates:

MONDAYJULY 1, 20139:30AM-10:00AMROOM 403

Upon Completion:

Students who successfully complete the course will receive a student certificate of completion (MV-285) which includes insurance premium reduction certificate. After receiving the MV-285 and passing the road test, a 17 year old is eligible for a full, New YorkState senior license. A 16 year old is issued a junior license with restrictions, which automatically turns into a senior license on their 17th birthday. Without completion of driver education program, a New YorkState senior license is not issued until age 18.

Application for Driver Education – SUMMER 2013 (Please Print Clearly)

Payment: Check Cash Credit Card / Check #______Card Type:
Check # ______ VISA M/C AMEX DISC
Credit Card Number / Security Code / Expiration Date
Name As It Appears On The Credit Card
Student’sLegal Name(Last, First, Middle Name) / Home Phone / Cell Phone
Address / City / State/Zip Code
High School Currently Attending / Email
Student Signature / Age / Date Of Birth
Parent/Guardian Consent: I Have Read And Understood The Requirements Of This Course. I Hereby Consent To Allow My Son/Daughter To Enroll And Participate In The EzraAcademy Driver Education Program.
Parent/Guardian Name(Last, First, MI) / Parent/Guardian Signature
Relationship To Student / Home Phone / Cell Phone
Email