Express Driving School

Express Driving School 25900 May Street (Office) Edwardsburg, MI 49112 (269)663-3254

Office Hours: Monday-Friday, 9 a.m. – 5 p.m. Department of State Certification #______

SEGMENT 2 CONTRACT

Program Number #______Classroom Location: 68935 Gateway Dr., Suite B, Edwardsburg, MI

Date(s) of Classes: ______

Student Name: ______Last Name First Name Middle Name Age Date of Birth Street Address: ______City______State ______

Home Phone: ______Cell Phone: ______Work Phone: ______

Parent’s Name: ______Parent’s Phone ______

Parent’s Email Address: ______

Parent’s Address: ______City______State ______

COURSE PROVISIONS

1. Express Driving School will provide a minimum of 6 hours of classroom instruction provided by a certified instructor. Classroom instruction shall not exceed 2 hours per day.

REQUIRED DEPARTMENT OF STATE INFORMATION

NOTICE: This provider is required to be certified by the Secretary of State. If you have any complaint which you cannot settle with this provider, write: Michigan Department of State, Driver Programs Division, Lansing MI 48918. Completion of driver education instruction does not guarantee qualification for a driver license.

For a student to participate in Segment 2, verification must be received that the student has completed a minimum of 30 hours of driving (including 2 hours at night) with a licensed parent or guardian (or parent designee) on a Level 1 license, which has been held for not less than 3 continuous months.

1. The parent or guardian agrees to pay the amount of $50.00 which needs to be paid in full by the following date: ______2. Requirements to pass the course pass all homework, tests and quizzes with 70% or better. 3. The cost of materials and supplies for the class is included in the price of $50.00 4. In case of a student’s absence or emergency the school’s policy is to schedule a make-up date at the discretion of the instructor. 5. The make-up day policy is as follows: schedule a make-up day at the discretion of the instructor. 6. Student must pass the Segment 2 State Test.

REFUND POLICY

1. If for any reason you decide to withdraw from the course before its completion, your refund will be based on the following:

a. A full refund will be issued if you withdraw 10 days prior to the first class. b. A partial refund will be issued based on the discretion of the instructor.

______Student Signature Parent Signature ______School Representative Signature Date of Contract