Dana Ventures Inc. dba All About Driving
4620 Dixie Highway, Suite A
Waterford, MI 48329
248-623-0799 www.allaboutdriving.com
Department of State Certification #: P000652
Office Hours: By appointment only
Program Number #: ___________________
STUDENT CONTRACT FORM FOR SEGMENT 1 CLASS
Student
Name:___________________________________________________________________________________________________
LAST First Full Middle Name
Date of Birth: ________________________ Gender: M____F____
Address: __________________________________________ City: ______________________ State: ______ Zip: ____________
Best Phone Contact:________________________________________________________________________________________
Email to be used for Scheduling Drives: ___________________________________ _____________________________________
Name of Parent or Legal Guardian: ____________________________________________ Phone: _________________________
Address (if different): ________________________________ City: ______________________ State: ______ Zip: ____________
Emergency Contact: _________________________ Relation: ___________________ Phone: _____________________________
COURSE PROVISIONS
All About Driving (“AAD”) will provide a minimum of 24 hours of classroom instruction, 6 hours of behind-the-wheel (BTW) instruction, and 4 hours of observation time.
Classroom instruction must be a minimum of 3 weeks in length. BTW instruction shall not begin until the student has received a minimum of 4 hours of classroom instruction.
All instruction must be completed no later then 3 weeks after the classroom instruction has been completed. AAD will conduct the BTW instruction in a dual-
controlled, fully insured automobile, covering each student enrolled in the program.
TERMS OF AGREEMENT
The student must be at least 14 years/8 months of age by the beginning of class (verification by birth certificate or government ID required).
Students MUST be picked up on time. AAD does not guarantee an adult presence or the safety of students, either inside or outside the building during non-supervised times.
If the student is absent from class, he/she must make up the classroom instruction missed by attending a following class covering the relevant material. AAD may, at its
discretion, assign homework required for course completion. While AAD will make best efforts to avoid doing so, AAD reserves the right to cancel, relocate, or reschedule
classes or BTW sessions at its sole discretion should circumstances dictate.
Fees and payment: Segment 1 course $365. Additional hourly BTW Coaching $30. Cancellation of BTW session with less than 24 hours advance notice
$25. Textbook replacement if unreturned or damaged beyond normal wear & tear $15. Replacement of lost Certificate of Completion $2. Returned Check $25.
Payments
may be made by cash, check (payable to All About Driving) or payment card. Full payment is required by the first day of class. AAD will not, after any course begins and
in which the student has attended, refund any fee, tuition, or charge or any part thereof should the school be ready, willing, and able to fulfill its part of the agreement.
Detailed refund and privacy policies may be found on our website at www.allaboutdriving.com.
Passing Segment 1 course requires a score of at least 70% on the State test in addition to completing homework assignments. Student will be given up
to two (2) additional attempts to pass the test if student is in good standing with all other completion requirements.
I hereby certify that the student named above is my child/ward and that s/he has my permission to participate in the All About Driving Instructional Course listed above. I
have read, understand, and agree to the above terms of this agreement.
Student Signature Date
Provider Signature Date Parent or Guardian Signature Date
Notice: This provider is required to be certified by the Secretary of State. If you have a complaint which you cannot settle with the provider please
complete the Driver Education Complaint form found on the Department of State website www.michigan.gov/teendriver. Completion of driver training
instruction does not guarantee qualification for a driver license.
** Please sign only ONE of the following agreements. Either Box 1 or Box 2 **
road student instruction agreement.
This agreement provides that
All About Driving shall have not less than two (2) students in the vehicle
used by the students during behind-the-wheel instruction.
NOTE: If you choose this option we may not drive your student alone. We must have 2
students in the car at all times. A parent or family member may substitute for the
second student. AAD is not responsible for pre-arranging availability of
observers.
____ ___________ _________
Signature of Parent/Guardian Date
__________________________________________ _______________
Signature of Provider Date
waiver agreement for individual
By signing below, I, , authorize
Printed Name of Parent/Guardian
All About Driving to allow a certified instructor employed by All About
Driving to offer my child on-the-road driving instruction without another
passenger in the vehicle.
NOTE: If you choose this option the instructor is allowed to drive with your student
alone.
____ ___________ _________
Signature of Parent/Guardian Date
_________________________________________ _______________
Signature of Provider Date
If student does not adhere to the following rules, the student may be subject to dismissal without attendance credit or refund: No
swearing in class; Students will respect others and instructor; No sleeping or head resting; No talking while instructor is talking; No
vandalism of property (damage will be student’s financial responsibility); Use of personal electronic devices is to be kept to a minimum.
