Column 3
Date
Time of
Day
Skills Practiced
Driving
Environment
Practice
Duration
Initials of
Provider
Total Practice Time of Column 3:
Combined Practice Time of Columns 1 & 2:
Total Practice Time of Any Additional Sheets:
G RAND T OTAL OF P RACTICE T IME
(Columns 1, 2 and 3)
Download the FREE RoadReady mobile app to track your driving experience together and
to keep safety tips top of mind. The latest addition to The Parent's Supervised Driving
Program offers parents and teens an easy, educational and convenient way to log the required
supervised driving time with the click of a button.
Track your time
Learn safe driving practices
Track driving conditions
View driving summaries
Download your driving log
Know your goals
Receive parental pointers
Reach your goals
Identify areas of improvement
Track your teen's progress
If using the RoadReady App it is not necessary to use this form. Be sure to print the
RoadReady log sheet and bring with you to the road test appointment for verification of
driving hours.
Download at bit.ly/RoadReadyVT or use the QR code above
Page 4
Department of Motor Vehicles
120 State Street
Montpelier, Vermont 05603
802.828.2000
D RIVING P RACTICE L OG S HEET
Mailing Address (Street, Road or PO Box):
City:
Date of Birth:
Learner’s Permit Number:
Date Permit Issued:
TO BE COMPLETED BY THE PARENT OR GUARDIAN
Yes
No
If ‘Yes’, please indicate what offense(s):
Do you certify that your child has received a minimum of 40 additional hours of practice
behind the wheel, with at least 10 hours being nighttime driving? (Nighttime driving is
defined as driving during the period of 30 minutes after sunset, to 30 minutes before sunrise.)
Yes
No
If No’, the applicant is not eligible for a Junior Driver’s License until s/he has
completed the required driving practice.
Statements and warrants herein are certified under penalty of 23 VSA §202 and §203.
Printed Name of Parent/Guardian
Parent/Guardian License #
Signature of Parent/Guardian
Date Signed
time of application for a Junior Driver’s License. It is very important that
authorized individual who provided the driving practice must fill in the
fields in columns 1, 2 and 3 with the appropriate information and initial the
form. The grand total of the practice time must be logged on Page 4 of
VN-210 2M 07/2019 MTC
Page 1
SAMPLE LOG SHEET ENTRY:
07/04/12
10:00 a.m.
Hill Starts
City - Daytime
30 min.
J.F.K
Column 1
Date
Time of
Day
Skills Practiced
Driving
Environment
Practice
Duration
Initials
of
Provider
Total Practice Time of Column 1:
Page 2
Column 2
Date
Time of
Day
Skills Practiced
Driving
Environment
Practice
Duration
Initials of
Provider
You may attach
additional sheets
if necessary.
Total Practice Time of Column 2:
Total Practice Time of Column 1:
Combined Practice Time of Columns 1 & 2:
Page 3
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