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. I try to text both student and parents the day prior to remind of our scheduled drive time. 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 & AgreementI (we) hereby make application to BEST WAY DRIVING ACADEMY:Package #1I agree to pay $380 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: Students will be emailed a confirmation link after signing up for the online course. Click this link to set up your personal password to access the online course account. Once you begin the online course, the clock will start ticking, and you will have 90 days to complete the course. Each section has a time length listed that you will get credit for when completed. If you take longer to finish the section, you will only be credited for time listed. The Hybrid classroom requires students to attend 4 two-hour classes in person and complete the remaining 22 hours of classes on-line. Requirements include BOTH indicated above for both in class and online. Requirements of behind-the-wheel are: Student must start lessons within 60 days of receiving their permit. It is the responsibility of the student to email the school (info@bestwaydrivingschool.net) to set up lessons when they are ready. This means having a valid permit and being 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.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 start lessons within 60 days of receiving their permit. It is the responsibility of the student to email the school (info@bestwaydrivingschool.net) to set up lessons when they are ready. This means having a valid permit and being 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.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 receive an access code once payment and contract are received.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.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.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.I (We) AgreeIndividual lessons for adults and students are $30.00 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. $50 Fond Du Lac, WI. $50 Wautoma, 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 $30 fee. If the fuel prices exceed $4.00 gallon at any time during your behind-the-wheel lessons, a one-time fuel surcharge of $15.00 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 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 NameThis field is for validation purposes and should be left unchanged.
