Driver Education Application

Driver Education Application AAA’s Reading High School Program 810 E. Columbia Avenue, Reading, OH 45215

Scheduled Classes: (You must be 15 yrs., 5 months old when class starts.) The SPRING (weekday- Tuesdays and Thursdays) session will begin on Feb. 24, 26, Mar. 3, 5, 10, 12, 17, 19, 24, 26, 31 and Apr. 2 from 3:00 p.m. – 5:00 p.m. Class will be in Room 117. Any questions, please call (513) 762-3207. Tuition Expense: The package program includes 24 hours of classroom instruction, textbook, and 8 hours of on the road instruction with a certified instructor. In car instruction will be in vehicles provided by AAA. Please make check payable to AAA Driving School. Full Program Package $399.00 Additional in-car sessions $130.00 (Minimum 2 hours) Applicant:______DOB______M/F Home Phone: ______Address: ______County ______Work Phone: ______City:______State:______Zip: ______Permit #: ______Date Issued: ______Membership Number______Credit card Number______Expiration date______3 digit code Name on card

Complete course will consist of 24 hours of class and 8 hours of in-car training. Instruction is based upon the Ohio Driver’s Training curriculum. Additional instruction is $65.00/hr member $75.00/hr non member (minimum 2 hour segments). Driver training schools are licensed by Department of Public Safety through the Driver Training Program Office, 1970 West Broad St. Columbus, OH 43223. In car instruction will be conducted in Hamilton and adjacent counties. There must be a 24-hour notice of any cancellation of driving appointments or a $35.00 fee will be assessed. Agreement The Driving school shall furnish a licensed instructor, insurance and a motor vehicle for all instruction. Driving school DOES NOT guarantee issuance of a state driver’s license to the student. The parent/guardian and the student will be jointly liable for this agreement in the full amount even if the course is not completed. Any student dismissed for unruly behavior will be charged a pro-rated cost for any completed portion of the course. The entire course must be completed within six (6) months of start date. After six (6) months all classes/BTW, and associated costs must be repeated. No extension can be made without a valid written request, filed and accepted by the AAA. No refund will be made as long as AAA Allied Group Driving School is able to fulfill its part of this agreement. All costs incurred when completing this course after a six (6) month period will be in addition to this contract. This course will be made available by AAA Allied Group, Inc. Driving School to be completed by: ______I have read and understand, and have received a copy of this agreement.

School Official: ______Date: ______Student: ______Date: ______Parent/Guardian: ______Date: ______THE STUDENT MUST HAVE A PICTURE I.D. TO DRIVE WITH INSTRUCTOR. THERE WILL BE A $35.00 CHARGE IF STUDENT DOES NOT HAVE THESE DOCUMENTS AT IN-CAR LESSON. Students may choose to be picked up at home if they live within 10 miles of the classroom location. Otherwise, a$25.00 surcharge will be required with this application. Duplicate certificates issued for a charge of $4.00. Driving School certificate will be mailed to address on application within 10 business days after completion of program. $25 cancellation fee. For rush/pickup certificate cost is $25.00. Does the student have any learning difficulties? ____yes ____no Physical Restrictions? ____yes ____no *This offer is only applicable to the individuals that reside in the Reading School district and Mount Notre Dame’s students. AAA Driving School Application 04/01/2014