Information Sheet & Contract Student and Family Information Sheet Student's Name First Middle Last BirthdateStudent's Cell PhoneI need this for our records especially if I am running late and the student is outside of the school waiting for us. Student's Email High School AttendingStudent's Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student's 2nd Addressif applicable Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father's Name First Last Father's Email Father's Cell PhoneMother's Name First Last Mother's Email Mother's Cell PhonePlease ConfirmWe will occasional send you a text messages if we are running late or confirming drive times. Therefore, we prefer cell phone numbers.If you are enrolling for one of our Hybrid classes or a full in person class, which class location and date were you signing up for?Contract & Agreement For BESTWAY DRIVING ACADEMYI (we) hereby make application to BESTWAY DRIVING ACADEMY:Package #1I agree to pay $379 for the complete course of driving instruction to include 30 hours of classroom instruction (Online, Hybrid, or Full Classroom), 6 hours of observation, and 6 hours of behind-the-wheel instruction. Payment of $200 is due before classroom begins and before application for person can be signed. Final payment must be made before the first behind-the-wheel lesson will be scheduled unless a payment arrangement has been made.Requirements of in class instruction include: Students must be present of every session. If student is absent for any legitimate reason, the absence must be made up. Students must be respectful and courteous to the instructor and all students. A student may be dismissed from the class for disruptive behavior. No cell phones will be allowed during the class sessions. Requirements of online classroom are as follows: Once you begin the online course, the clock will start ticking, and you will have 90 days to complete the course. You are only allowed to work on drivers education for up to two hours per day. The Hybrid classroom requires students to attend 4 two-hour classes in person and complete the remaining 22 hours of classes on-line. Requirements listed above include the Hybrid class. Requirements of behind-the-wheel are: STUDENTS MUST COMPLETE THEIR FIRST BEHIIND THE WHEEL LESSON WITHIN 60 DAYS OF RECEIVING THEIR TEMPS. It is the responsibility of the student to set up their account in Schedule2drive to gain access to the online scheduling program. The student must have a valid permit and be ready to make a payment if not paid in full. Students must complete all 6 lessons. A FEE OF $35.00 WILL BE CHARGED FOR MISSED APPOINTMENTS WITHOUT GIVING 24 HOUR NOTICE. Some exceptions will be made. Failure to meet requirements could result in being dropped from the course and having their driving permit revoked.This school will not refund any fees or part of fees if this school is ready, willing, and able to fulfill its part of the agreement. Exceptions may be made, however, a processing fee of $50 will be accessed for any refunds granted.This agreement constitutes the entire contract between the school and the student, and no verbal statement or promises will be recognized.Package #2I agree to pay a fee of $280 for behind-the-wheel only. This includes 6 hours of observation and 6 hours of behind-the-wheel Instruction. Full payment must be made before the first behind-the-wheel lesson will be scheduled unless a payment arrangement has been made. Proof of classroom completion is required before application for permit can be signed.Requirements of behind-the-wheel are: STUDENT MUST COMPLETE THEIR FIRST BEHIND THE WHEEL LESSON WITHIN 60 DAYS OF RECEIVING THEIR TEMPS. It is the responsibility of the student to register for an account on Schedule2drive to gain access to the online scheduling program. They must have a valid permit and be ready to make a payment if not paid in full. Students must complete all 6 lessons. A FEE OF $35.00 WILL BE CHARGED FOR MISSED APPOINTMENTS WITHOUT GIVING 24 HOUR NOTICE. Some exceptions will be made. Failure to meet requirements could result in being dropped from the course and having driving permit revoked.This school will not refund any fees or part of fees if this school is ready, willing, and able to fulfill its part of the agreement. Exceptions may be made, however, a processing fee of $50 will be accessed for any refunds granted.This agreement constitutes the entire contract between the school and the student, and no verbal statement or promises will be recognized.Package #3I agree to pay a fee $75.00 for a 2-hour Failure to Yield the Right of Way course either in person or online. Requirements for online: the student or adult will be approved to start once payment and contract are received.This school will not refund any fees or part of fees if this school is ready, willing, and able to fulfill its part of the agreement. Exceptions may be made, however, a processing fee of $50 will be accessed for any refunds granted.This agreement constitutes the entire contract between the school and the student, and no verbal statement or promises will be recognized.Package #4I agree to pay a fee of $55.00 for a 10-hour refresher classroom course either in person or online if it has been more than 13 months since I’ve taken classroom and I have not begun the behind-the-wheel training. Proof of classroom completion is required.This school will not refund any fees or part of fees if this school is ready, willing, and able to fulfill its part of the agreement. Exceptions may be made, however, a processing fee of $50 will be accessed for any refunds granted.This agreement constitutes the entire contract between the school and the student, and no verbal statement or promises will be recognized.Package #5I agree to pay $55 for an online Temps test Prep Course. Requirements for online: the student will be approved to begin the online portion once payment is received using the log in and password created during registration.This school will not refund any fees or part of fees if this school is ready, willing, and able to fulfill its part of the agreement. Exceptions may be made, however, a processing fee of $50 will be accessed for any refunds granted.This agreement constitutes the entire contract between the school and the student, and no verbal statement or promises will be recognized.Package #6I agree to pay $99 for an online 30 hour class. Requirements for online: the student will be approved to begin the online portion once payment is received using the log in and password created during registration.This school will not refund any fees or part of fees if this school is ready, willing, and able to fulfill its part of the agreement. Exceptions may be made, however, a processing fee of $50 will be accessed for any refunds granted.This agreement constitutes the entire contract between the school and the student, and no verbal statement or promises will be recognized.I (We) Agree*Individual lessons for adults and students are $35.00 per hour for private classroom instruction and $50.00 per hour for private behind-the-wheel instruction. If under 18, proof of classroom completion is required. Use of vehicle for state road test: $50 Berlin, WI. $50 Beaver Dam, WI. $100 for all other DMV road tests. If I need an instructor to accompany me to the road test, there will be an additional $35 fee. If the fuel prices exceed $4.00 gallon at any time during your behind-the-wheel lessons, a one-time fuel surcharge of $35.00 will be required before starting or during driving instruction. $35.00 fee for checks returned NSF. I (We) AgreeThis school will not refund any fees or part of fees if this school is ready, willing, and able to fulfill its part of the agreement. Exceptions may be made, however, a processing fee of $50 will be accessed for any refunds granted. This agreement constitutes the entire contract between the school and the student, and no verbal statement or promises will be recognized. Student's Name First Last Student's Signature (USE THE MOUSE ON THE COMPUTER OR YOUR FINGER ON A PHONE)Date MM DD YYYY Parent's Signature (USE YOUR MOUSE ON A COMPUTER OR YOUR FINGER ON A PHONE)Date MM DD YYYY Are you a AAA Member?*Yes (Contact us for a 10% discount)NoAAA card number*Select Payment FormPay by check (Mail checks to 745 South Street, Suite 3A, Green Lake, WI 54941)Pay by cash (Contact us to arrange)Pay by Credit Card or PayPalCredit Card/PayPal Service Fee$15.00Total $0.00 PhoneThis field is for validation purposes and should be left unchanged.
