Major Driving School

More than 10,000 clients served over the past 14 years!

Back Save a Spot!! Online Registration Segment 1 Forms

 

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For Office Use ONLY:    date received:_______________    copied:______
paid:____________    cash / check#____________    receipt#____________

_______________________________________________________________________________

First                                                Middle                                                Last

Birth Date:____/____/____
               Mo.   Day   Yr.

_______________________________________________________________________
Address                                             City                                                  Zip

Home Phone:(____)___________________  Cell Phone:(____)______________________

E-mail address:______________________@_____________

What school do you attend?_______________________________________________

How did you hear about this course?__________________ From whom?____________

What course are you interested in? Date:_________________ Time:______________

Check the class location:  ____ Burton  ____ Swartz Creek ___Carman Ainsworth H. S.

Method of Payment
 Total cost for SEGMENT 1 ONLY is $269. Payments can be made by cash or check to Major Driving School. Payments of at least $134.50 per week can also be made with any balance being paid by the end of the 2nd week of class. Checks will not be accepted after the 2nd week; cash must be used. $20 will be charged for any returned checks. Class size may be limited based on enrollment and registered students will be given first preference. There must be enough for a class. Call to make sure.

Refund Policy
If a student cancels before the first day of class, 100% of the cost paid will be refunded. After the 1st or 2nd day of class, 75% will be returned. After the 3rd or 4th class day, 50% will be refunded and after the 5th class day, no refund will be given. In case of misconduct, no refund will be given and the student may be expelled.

Course Work
24 hours of classroom instruction and 6 hours of behind-the-wheel road work will be given to each student. Students who satisfactorily complete both phases of instruction will receive a GREEN Segment 1 Michigan Driver Education Certificate. The GREEN, Segment 1 Michigan Driver Education Certificate must be taken to a Secretary of State office and a level one learner's license must be obtained before a student can legally drive. Major Driving School will provide the textbook and all the materials needed for the course work.

The parent or guardian certifies that the student is at least 14 years and 8 months by the first day of class, and has no physical handicaps that will interfere with driving an automobile.

_________________________  ______________________
Student Signature                   Date

_________________________  ______________________
Parent Signature                     Date

_________________________  ______________________
Major Driving School Official     Date

Notice Statement: "This school is required to be licensed by the Michigan Department of State, Driver Training & Testing Programs. If you have a complaint which you cannot settle with this school, write: Michigan Department of State, Driver Training & Testing Programs, Lansing, MI 48918. Completion of driver training instruction does not guarantee qualification for a driver license."

 

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Last modified: 06/16/10