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Parent/Guardian and Teen Driving Agreement |
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DIRECTIONS: Please fill out the following form. Upon completion, click on the button at the bottom of this page to review the contract. After both the Parent/Guardian and Teen review the contract please print and sign. Thank you! |
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1. Name of Parent/Guardian and Teen Driver |
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Parent's/Guardian's Name: |
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Teen's Name |
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1. Financial Responsibilities for Vehicle Costs (indicate who pays and how much) |
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a) Fuel: Parent/Guardian |
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$
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Teen
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$
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b) Maintenance: Parent/Guardian |
Parent/Guardian
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$
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Teen
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$
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c) Taxes and Registration: Parent/Guardian |
Parent/Guardian
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$
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Teen
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$
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d) Insurance: Parent/Guardian |
Parent/Guardian
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$
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Teen
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$
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2. Maintenance responsibilities (indicate who has the responsibility for each item below) |
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a) Checking vehicle fluids: |
Parent/Guardian
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Teen
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b) Checking tire pressure: |
Parent/Guardian
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Teen
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c) Cleaning vehicle interior: |
Parent/Guardian
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Teen
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d) Cleaning vehicle exterior: |
Parent/Guardian
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Teen
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e) Cleaning vehicle windows: |
Parent/Guardian
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Teen
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3. As a beginning driver I agree to: |
a) Wear my seat belt when driving a motor vehicle and
require those in a vehicle I am operating to wear their seat belts. |
If I do not comply, the consequence will be:
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b) Do well in school academically and behaviorally. |
If I do not comply, the consequence will be:
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c) Obey traffic laws and drive safely at all times. |
If I do not comply, the consequence will be:
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d) Agree not to drink and drive. |
If I do not comply, the consequences will be:
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e) Comply with my curfew. |
If I do not comply, the consequence will be:
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f) Comply with passenger restrictions. |
If I do not comply, the consequence will be:
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g) Provide my Parent/Guardian with my destination and time of return. |
If I do not comply, the consequence will be:
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h) Not allow others to drive my vehicle. |
If I do not comply, the consequence will be:
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i) Call if I will be late. |
If I don't comply, the consequence will be:
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j) Behave responsibly and be a courteous driver. |
If I do not comply, the consequence will be:
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4. As the Parent/Guardian I agree to |
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a) Be patient. |
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b) Teach proper driving techniques. |
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c) Provide a safe and reliable motor vehicle for my child. |
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d) Make sure my child drives in accordance with the laws of the road and the vehicle laws of Virginia. |
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e) Not allow my child to drive when he/she is physically, mentally, or otherwise not able to drive safely. |
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f) Teach my child to be a courteous driver. |
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g) Always set a good example for my child in my use of and knowledge of the vehicle laws of Virginia. |
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