Adult Contract - 2hr Behind-the-Wheel



ADULT                                                                                                          ( C3319 )

Name of School:   Mansfield Driving Academy            Phone:   (817) 225-2808  

Classroom Address:   2364 US Hwy 287, Ste 123     City:   Mansfield   State: TX 


Student Last Name:   Student First Name:   

Date of Birth:   Driver's License #:    

Address:  City: State:  

Zip Code:  Email Address  

Student Cell #                                        


Shipping Address:       



Taught by our partners at National Highway Safety Administration.    Cost per program: $38.95 

*The online portion of this package is non-refundable and non-transferable. 6hr course includes permit test.  This course will be purchased from NHSA (link will be provided).  This course price may not be the final price for this program.



BTW Lessons: 1       Length of Lesson: 2  Hrs.    Cost per Lesson (package discount applied): $121.05

*The BTW instruction will take place at Mansfield Driving Academy using our vehicles and personnel.


Package Add-ons:

Total Course Rate: $  




A no show fee of $35.00  will be charged if the school is not notified of a cancellation at least 24 hours prior to a scheduled in-car lesson.  Likewise a fee of $35.00 when a student arrives for an in-car lesson without required prescription corrective lenses and/or permit license.  A fee of $100.00 will be charged if a student defaces or damages any school property (desks, tables, textbooks, etc.)  



Progress standards must meet the requirements of the current rules adopted by the Texas Department of Licensing & Regulation (TDLR). Mastery is a prerequisite to awarding a grade of 70 or above. Evidence of mastery shall be determined by one or more of the following methods: 1) unit tests; 2) written assignments; 3) skills performance checklist; and 4) comprehensive examinations of knowledge and skills.


A student or prospective student may be dismissed or barred from the school for tardiness; drunkenness or obvious signs of drug use; rude, vulgar or disruptive behavior; smoking or using tobacco products; using a cell phone during class or in the car; or being otherwise inattentive (sleeping, texting, reading, etc.). Students terminated for violating rules of conduct may be readmitted at the discretion of the school director.


A full refund will be made to any student who cancels the enrollment contract before midnight of the third day, other than a Saturday, Sundays, or legal holiday, after the date the enrollment contract is signed student, unless the student successfully completes the course or receives a failing grade on the course examination; or the enrollment of the student was procured as a result of a misrepresentation in advertising or promotional materials of the school or course provider; or a representation made by an owner or employee of the school or course provider.



  • Any physical items will be shipped as soon as we reasonably can.
  • Any items of service value must be redeemed at appropriate steps when the student has met both the lawful and educational requirements.
  • All service related add-ons will be redeemed by communicating either by email or phone to Mansfield Driving Academy no-later than three-days prior to any date that the customer wishes to redeem their purchased service.
  • Mansfield Driving Academy makes no guarantees that the day and time for the redeeming of services will be available.
  • Purchased services and products are only valid for the student listed above and are non-transferable to any other student or person.



  • Refunds are based on the period of enrollment computed on the basis of course time expressed in clock hours. • The effective date of the termination for refund purposes will be the earliest of the following: (a) the last day of attendance, if the student is terminated by the school; (b) the date of receipt of written notice from the student; or (c) the 10th school day following the last day of attendance.
  • Mansfield Driving Academy may retain up to $50 for administrative fees before making a refund. All refunds will be made in full minus the administrative fees and services already rendered.
  • The notice of Cancellations and Refunds must be made in writing either by email or letter from the adult student listed on this receipt.  The actual issuance of monies, for purpose of refund, will have to be done at Mansfield Driving Academy offices.
  • Customer has one-year from the purchase of this course to redeem services purchased.  If services are not redeemed ,after such time, the services pre-purchased will be forfeited.
  • All services, courses and instruction are not refundable after 6 months from the purchase date if such services, course and/or instruction has not been redeemed or otherwise started by the student.
  • The school shall refund items of required extra expense to the student, if applicable, including  instructional supplies, books, laboratory fees, service charges, rentals, deposits, and all other charges not later than the 30th day after the effective date of enrollment termination if: (a) the extra expenses are separately stated and shown in the information provided before enrollment; and (b) the student returns to the school any property in the student’s possession and (c) not including optional package addons of a physical nature that were shipped and is wholly owned by the customer purchasing.
  • Any physical merchandise or consumables purchased by the customer is non-refundable upon original completion of the sale or when items are shipped; whichever occurs last.
  • Refunds shall be completed within 30 days after the effective date of termination.



I have been furnished a copy of the school tuition schedule; cancellation and refund policy; make-up policy and school regulations pertaining to absence, grading policy, progress, and rules of operation and conduct.


Mansfield Driving Academy makes no promises that a drive time or classroom schedule will be available on the day or time that is requested from the customer. The customer/student understands that drive times should be paced out in a way that best allows the student to drive both at home and with the driving academy and not to speed through the driver education process without any practice time at home between scheduled drives.


Signing-up for a drive time is based on a 'first-come-first-served' system where the individual student will be responsible for signing up for individual drive times when such drive times are made open by the school.  Due to demand, the student may not receive a drive time within that requested time period.  The student agrees to be patient with the process and notify the school when efforts to secure a drive time are not successful. 


The school maintains a business insurance policy for vehicles with coverage as required by Texas Transportation Code, Chapter 601, and uninsured or under-insured motorist coverage.


The school is prohibited from issuing a DE-964 or ADE-1317 if the student has not met all of the requirements for course completion, and the student should not accept a DE-964 or ADE-1317 under such circumstances.


This agreement constitutes the entire contract between the school and the student and no verbal assurances or promises not contained herein shall bind the school or the student.


I further realize that any grievances not resolved by the school may be forwarded to Texas Department of Licensing and Regulation Attention: Enforcement Division PO Box 12157 Austin, TX 78711; 800-803-9202



Adult Students please sign below for the contract.

Leave this empty:

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Signed by Jakob Howe
Signed On: October 6, 2023

Signature Certificate
Document name: Adult Contract - 2hr Behind-the-Wheel
lock iconUnique Document ID: b382ff2b264167ff38db5611e4a912b1007fdec9
Timestamp Audit
October 26, 2022 11:17 am CSTAdult Contract - 2hr Behind-the-Wheel Uploaded by Jakob Howe - IP
October 6, 2023 11:49 pm CSTMansfield Drive - added by Jakob Howe - as a CC'd Recipient Ip: