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Registration:

 TO ENROLL…TEENS  1) Must be 15 years old by 1st day of class. Fill out form, (be sure to read & sign.) 2) Clip & Mail with $150 (or full tuition) to address below.   Or  drop off  at our Smokey Point office.  For confirmation, call us within a few days. (360) 659-1311
               Margo’s Safety 1 Driving School Inc.  16710 Smokey Pt. Blvd.- Arlington WA 98223 
 
   
   
Please enroll me in:   _____/_____/_____                                            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)

 

___________________________________n______________________________________________      __________________

Street Address                                              City                                                         County                                                    Zip  

                                                                                                           _________________________________ __________________________   __________________________

Mailing Address                                                            Home Phone                                            Parents Work / Cell 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 available at M-P hi
>
$150 dollar deposit must be paid with registration to hold place in class. (Sale coupons if applicable, must be submitted at 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 $45 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).

Students must bring pen and paper (no spiral notebooks) to every class


I have read, and understand all of the above terms.
I realize that this is a school, and I am not simply purchasing a completion certificate--it is like a diploma. My student must meet all standards (within the above deadline), in addition to paying all fees. By signing this registration, I agree to abide by the terms and policies of Margo’s Safety 1 Driving School Inc., and to help my student meet the requirements of this course and of  Washington's intermediate licensing laws (see below for details of law)*

______________________________________  _______________________________________

        Parent or Legal Guardian Signature (required)                                    Student Signature (required)
NOTE: If your student has any unique needs that may affect learning in car/classroom, telling us in advance will help us serve them.(Examples: Past accident history, learning difficulties, medications, etc.)
                                                                                                                                                     Copyright © 2005 All Rights Reserved.  
Washington's intermediate license laws require a student to have a permit for at least 6 months before applying for a license. During that time the student must practice at least 50 hours with a legally experienced driver (ten of those at night). Once licensed, the student may not drive between 1 & 5 a.m. or with any passenger under the age of 20 (except immediate family) for the first six months. See WA Driver's guide for further details.

  
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