GreenLight Co., Inc.

Is

GreenLight Driving School

1059 South Main Street

Cheshire, CT 06410

Phone (203)250-8406

Heather Carrano, Owner, Instructor

Student Name: ______

Sex: M or FDate of Birth: ______Phone: ______

Address: ______

Name of Parent of Guardian: ______

Email Address:______

The program consists of 30 hours of classroom instruction and eight (8) hours of behind the wheel training. The student must be 16 years of age before starting any part of the program. A driving permit is required by law before any behind the wheel training is given. The Connecticut Drivers Manual for new drivers will be covered as well as decision making and precision driving techniques. GreenLightDrivingSchool does not guarantee that every student will pass the driver test when given.

The student is responsible for making and keeping driving appointments with the driving school. There will be an extra charge of $50.00 per driving session that is missed or not cancelled with at least 24 hours notice. Each student must receive many additional hours of training with another licensed adult in order for him or her to be a safe and responsible driver. Extra hours are available through the school for an additional $100.00 per 2 hour session.

Total Cost of Program:$525.00

Starting date of class : ______

I hereby give consent for (name of student) ______to participate in classroom and behind the wheel training.

Parent/Guardian Signature: ______

Student Signature: ______

GreenLight Driving School

Parental Information

  1. All balances must be paid in full before a student can begin driving hours
  1. GreenLightDrivingSchool requires at least 24 hour notice for cancellation of driving hours. There is a $50.00 charge for driving hours that are not cancelled at least 24 hours prior to the scheduled appointment or if the student does not show up
  1. Permits must be with the student during driving hours. In the event that a student does not have his/her permit with them, there will be a fee of $50.00 and it will be documented as a no show.
  1. The student must complete 30 hours of classroom, which consists of 15 different lessons. One of each lesson must be completed. Included in the 15 classes is the 2 hour parent/teen class.
  1. The student will not be allowed into class 10 minutes after it has been started.
  1. Please pick students up in front of the building after class and on time. GreenLight Driving School cannot be responsible for students safety before and after class time, or if the student leaves the premises.
  1. GreenLightDrivingSchool is not responsible for lost or stolen articles.
  1. Cell phones must be set to vibrate during class time. There are no phone calls or text messages allowed during class time. NO EXCEPTIONS

Parents Initials: ______

Date: ______

GreenLight Driving School

  • The student can and will be expelled for the following behavior:
  1. Pushing, shoving, fighting, or wrestling of any kind
  2. Shouting or use of profanity
  3. Rude or disrespectful behavior
  4. Vandalism of any kind
  5. Possession of weapons, drugs or alcohol
  • There is a $50.00 non-refundable registration fee
  • I have read and understand the following rules and regulations for GreenLightDrivingSchool. I agree to abide by the above rules and regulations as set by GreenLightDrivingSchool.

Students Name: ______

Students Signature: ______

Parent/Guardian Name: ______

Parent/Guardian Signature: ______

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