Read these Directions For Filling Out
Paperwork For Columbus Driving Academy
Please Print All the following documents,
One contract is for the school the second copy (you will get it when it prints) is for your records.
The student cannot start classes unless a parent has signed the Contract, Late-pickup Notice and Medical Release Form.
Please note: WHEN BACKGROUNDS DON'T PRINT
On your screen, you may see the background colors that we put on our documents. But you won't see the backgrounds on paper unless you have selected the option to print background colors in the Settings or Preferences or Internet Options menu of your Internet browser software (Internet Explorer or Netscape).
Step #1 CONTRACT (Parent and Student Responsibility)
- Make sure the info provided is correct. Fill in/correct any missing/incorrect info.
- Verify the spelling of your student's name
- This how it will appear on the Certificate of Completion.
- Provide the license # and issue date.
- It is an alpha numeric # found on the student's ID card or temporary permit papers.
- Have your student sign and date the contract.
- Parent or guardian must sign and date the contract also.
Step #2 LATE CHARGE (Parent Responsibility)
- Parents, read over and sign your name.
- If your student has your permission to walk home, please note that at the bottom of this form and sign it.
Step #3 MEDICAL RELEASE FORM (Parent Responsibility)
- Parents can fill this form out today if you have all of the necessary information or you can have the student bring this form back to the first class he/she attends.
PAYMENTS
- You can pay by either Check, Charge (Discover, MasterCard or Visa), Money Order, or Cash.
- Checks should be made out to Columbus Driving Academy.
Total Price is $399.00
- Bring a deposit today, the minimum amount due is $159.00, in the form of Check, Charge (Discover, MasterCard or Visa), Money Order, or Cash.
- Bring the coupon (only one coupon per student).
- The coupon must be presented in the first or second class to be valid.
- If payment is not made in full, the balance is due on the sixth class (not to be confused with Class #6).
- Please read the entire contract for any additional charges that may apply.
- Don't forget the is a separate Five dollar ($5.00) State Certificate Fee due, in cash, by the sixth (6th) class.
Columbus Driving Academy East-side |
| Book issued: |
| Student's name: Phone: |
| Address: |
| City: Zip: |
Classroom Training |
| Date | Start Time | End Time | Session Number | Films | Site | Student Initials | Instructor | State ID # | |
| Time | |||||||||
| month/day | time | time | number | 1 2 3 4 5 | B G P R | your initials | |||
1 2 3 4 5 | B G P R | ||||||||
1 2 3 4 5 | B G P R | ||||||||
1 2 3 4 5 | B G P R | ||||||||
1 2 3 4 5 | B G P R | ||||||||
1 2 3 4 5 | B G P R | ||||||||
1 2 3 4 5 | B G P R | ||||||||
1 2 3 4 5 | B G P R | ||||||||
1 2 3 4 5 | B G P R | ||||||||
| Test Score #1__________ Instr.:________ | Test Score #2__________ Instr.:________ | |
| I, the undersigned instructor certify that the student named above has received all classroom training required by Rule 4501-7-04 of the Administrative Code. | ||
This course must be completed within 180 days from your start date. | ||
| Comments: | (Instructor's signature) | |
class eight (8) must be taken last!
Repeated classes will not count.
**DUE TO A RECENT PROBLEM**
****YOU NEED TO PICK-UP YOUR SON OR
DAUGHTER AFTER THE CLASS IS OVER
(9:00pm - 9:10pm). ANY PARENT THAT IS LATE
PICKING UP THEIR SON OR DAUGHTER WILL
BE CHARGED $20.00 DUE ON THEIR NEXT
CLASS. THEIR NAMES WILL BE TURNED IN
TO THE OFFICE. PLEASE SIGN AND RETURN
WITH PARENT'S SIGNATURE.
_________________________________________
Parent/Guardian signature
THANK YOU FOR YOUR COOPERATION.
In-Car Policies
All eight classroom classes must be completed before in-cars be scheduled.
Balance must be paid in full before in-cars can be scheduled. Balance may be paid by cash, check, Discover, MasterCard or Visa. If paying by check, balance must be paid by the 6th class student attends, otherwise student must wait 10 days before scheduling in-cars.
The five dollar ($5.00) State Certificate Fee must be paid by the 6th class student attends, otherwise student must wait 10 days before scheduling in-cars.
The first in-car lesson is scheduled through the office. When calling to schedule in-cars, have the following information Temporary permit number, temporary permit issue date.
The final three in-cars are scheduled with the instructor in the car.
In-car lessons must be canceled 24 hours in advance. There is a $25 fee for lessons not canceled at least 24 hours in advance.
All classroom are to be completed within a 3 month period. The entire course needs to be completed within a 6 month period. After a 6 months, the classes and payment will start over.
There will be a $40.00 charge on returned checks.
