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[COMPLETE FOR ALL MINORS, UNDER THE AGE OF 18]
CONSENT BY PARENT OR LEGAL GUARDIAN FOR RELEASE OF
DRIVING INFORMATION AND WAIVER
I, _______________________________ (parent or legal guardian), hereby voluntarily consent on behalf of,
________________________(student), a minor, to the release of all information held by the Georgia Department of
Driver Services or any other federal, state or local government organization of any type, including, but not limited to, law
enforcement agencies of federal, state or local government, that relates in any way to the minor’s operation of a motor
vehicle in the State of Georgia or elsewhere. I grant this consent in furtherance of my request for the minor’s participation
in driver education activities or courses offered in conjunction with the Georgia Driver’s Education Commission, the
Governor’s Office of Highway Safety or the Technical College System of Georgia and this request applies to requests for
information submitted by any or all of said agencies of the State of Georgia.
I understand that audio, video, and GPS recording devices may be used as a part of the driver’s education course. Some of
the vehicles provided for driver education are equipped with recording devices that record audio and video inside the
vehicle cab, video facing outboard the front windshield, and GPS recording. I understand that such audio, video, and GPS
recording devices are in use and consent to their use. I further consent to GDEC, TCSG, and the driver education
provider using pictures, audio, and video, obtained from said recording devices, for training and PR purposes.
I understand that the minor’s participation in the driver education activities or courses could expose the minor to personal
or bodily injury, including death. I understand that the risks that the minor may encounter include, but are not limited to,
transportation accidents. In the event of a transportation accident, which could include bodily or personal injury, or even
death, I, as the parent or legal guardian of the minor, am responsible for all costs, including but not limited to, the costs of
I understand, and hereby acknowledge, that the minor is not obligated or required to participate in the driver education
activities or courses offered in conjunction with the Georgia Driver’s Education Commission, the Governor’s Office of
Highway Safety or the Technical College System of Georgia. In exchange for the instruction, use of equipment, materials
and supplies by my child, and his/her being allowed to participate in this driver’s education course, I waive any and all
claims and causes of action related to the minor’s participation and hereby jointly release, acquit and forever discharge the
State of Georgia, the Georgia Driver’s Education Commission, the Governor’s Office of Highway Safety, and the
Technical College System of Georgia, their respective officers, members, directors, including its past, present, and future
subsidiaries, divisions, agencies, instrumentalities, successors, agents, servants, representatives, employees, affiliates,
partners, heirs, administrators, personal representatives, assigns, attorneys and volunteers.
This consent is given freely and voluntarily by me, on behalf of the aforementioned minor, without coercion, duress,
threat or promise of any kind and shall remain in effect for a period of ten (10) years after the date of signature below or
until revoked in writing by the minor upon the minor reaching the age of majority. Revocation of consent must be in
writing and delivered to the Georgia Driver’s Education Commission at 7 Martin Luther King Jr. Drive, Atlanta, Georgia
By signing below, I certify that I am the legal guardian of the aforementioned minor, that I am 18 years of age and am
otherwise fully competent to give this consent.
Dated at _____________________________ (location) this______ day of _______________, 201_____.
Signature of Parent or Legal Guardian: ___________________________________
Printed name of Parent or Legal Guardian: _______________________________________
Printed name of Student: __________________________________
Student’s Driver’s License Number: ___________________________