HOW TO ENROLL…   1)  Must be 15 years old by 1st day of class. Complete this form, (be sure to read & sign.)

 2) Clip & Mail with $150 (or full tuition) to: Margo’s Safety 1, 16710 Smokey Pt. Blvd. #202, Arlington WA 98223  

 Or  drop off  at our office in Smokey Point -- See map.      For confirmation, give us a call within a few days

      Teen Driver’s Ed Enrollment:  Margo’s Safety 1 Driving School Inc.

Please enroll me in:                                  16710 Smokey Pt. Blvd. - Arlington WA 98223              

                                                                      (360) 659-1311                                Class Location:(circle)

 _______/_______/_______                                                                                                                      Smokey  Pt. / MP Hi         

 (Class Start  Date     mm-dd-yy)             

 _________________________________________________________      __________________________________________

 (last, first, middle)Student's full legal name                                                                Parents Name (please print)

_______________________________________________________________________________________________________

Street Address                                              City                                                         County                                             Zip  

                                                                                                           _________________________________ __________________________   ___________________________

Mailing Address                                                            Home Phone                                                 Parents Work Phone
 

____ M F ___/___/___ ________How did you find us?  Sign__ Friends/Family___Other                   

  Age       Gender            Birthdate                  School                           Web____  yellow Pages:Verizon___Qwest___ Plaidbook____

 
EMAIL:_____________________________
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Terms: Select a Package- ( )SuperPremium 6 drive $385 (recommended)       ( ) Premium 5 drive+Zed simulation $365
                                                                                   6 student minimum-not avail. at M-P hi
>$150 dollar deposit must be paid with registration to hold place in class. (Sale coupons if applicable, must be submitted upon registration for credit)
>Balance of tuition due at first class. A  $10 Finance charge is added to balances not paid on time. 
>Full tuition includes 30 hours of classroom, and  ___ hours of Behind-the Wheel, & up to 6 hours of observation. (hours depend on selected Package) If additional drive time is needed, it is available at a rate of $40 per hour.
> Rescheduling fee: $40 for drive appointments missed or canceled less than 48 hours in advance.
>No Refunds are given after the first week of class. If no classes were attended, tuition minus $25 administrative fee will be refunded. Classes attended will be charged at a rate of $25 each and $45 per drive done, in addition to above fee. Transfers: additional fees apply.
>  ____ <Init. To receive a completion certificate, a parent must attend our parent meeting and student must:  
1)  Complete all class sessions, drives, & class work (with at least  an 80% score) by the end of class. (For extreme circumstances we may allow up to 21 additional weeks  (Then student must retake entire course & pay again)Attendance must begin by the 3rd class, a total of 3 classes may be missed, but all missed classes must be made up. Student will be dropped from class for exceeding 3 absences.
2) Pay tuition & all fees, (including $20 lost book, $40 rescheduling,$10 late payment-$25 fee for NSF Checks,  $25 drive retest if failed) Full schedule of fees available on request.
3) Obey all rules and behave in a mature, responsible manner toward other students, adults and property.  Irresponsible behavior is grounds for immediate expulsion (NO REFUND).