STUDENT ENROLLMENT CONTRACT
Traditional Classroom and BTW
Minor ( 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 # (if applicable):
Address: City: State:
Zip Code: Email Address: ,
Student Cell #:
Parent Name: ,
Parent Name: ,
Parent Email: Other Email:
CLASSROOM & BEHIND-THE-WHEEL INSTRUCTION - CONCURRENT COURSE
Class Lessons: 16 Length of Course: 32 Hrs. Length of Lesson: 2 Hrs. Cost per Lesson: $23.75
BTW Lessons: 7 Length of Course: 14 Hrs. Length of Lesson: 2 Hrs. Cost per Lesson: $0.00
*7 driving lessons are provided free with purchase of full course
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. A fee of $100.00 will be charged if a student defaces or damages any school property (desks, tables, textbooks, etc.) If gas prices exceed $4.00 per gallon, an additional fuel surcharge of $3.00 may be charged for each lesson.
ATTENDANCE / ABSENCE
A full hour of absence is charged to the student when he/she does not attend the full 55 minutes of instruction during a 60-minute period. If a student is absent in excess of 10 classroom hours, the student enrollment will be terminated from that class.
GRADING / PROGRESS 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.
RULES OF OPERATION AND CONDUCT
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.
REDEEMING OF PACKAGE SERVICES
REFUND/TERMINATION/DISCONTINUED COURSE POLICY
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. http://www.mansfielddrivingacademy.com/policies.html
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 www.tdlr.texas.gov/complaints
READ ENTIRE CONTRACT BEFORE SIGNING
Student's 18 years old or older please sign below. Parent's of Minor students please sign below for the contract.
Leave this empty:
Your legal name
Your email address
Signed by Jakob Howe
Signed On: May 5, 2023
If you have questions about the contents of this document, you can email the document owner.
Document Name: Teen - Full Package (Classroom & Behind-the-Wheel)
Agree & Sign