FIRST STEPS DRIVING SCHOOL 1250 OLD LEECHBURG ROAD PLUM

  (FIRST NAME AND LAST NAME TITLE) HEAD
WHERE ASSIGNOR IS FIRST PURCHASER FROM DEVELOPER [SOLICITORS LETTERHEAD]
23 CI114RPRE FIRST STANDING COMMITTEE CI114RPRE PEACE

ARRIVAL INFORMATION FORM SURNAME FIRST NAME
DRESSAGE ASSESSMENT FORM FOR SHADOW–JUDGING FIRST
FIRST BASKETBALL VETERANS ASSOCIATION OLD STARS ZAGREB 89

1st Steps Driving School

First Steps Driving School

1250 Old Leechburg Road, Plum, PA 15239

Phone: 412-860-8836

Email: [email protected]

Website: www.firststepsdrivingschool.com

­­­­­­­­­­­­­­­­


First Steps Driving School has over 40+ years of experience teaching all levels of driving experience; from the first day of obtaining a driving permit to licensed drivers with several years of driving experience. We are committed to helping each student driver reach his or her full potential as a safe, perceptive, defensive driver. In doing so, we teach driving fundamentals by putting student drivers in different driving situations to help them gain experiences that they will use throughout their many years of safe driving.


Please read through this document, fill-in necessary information, and sign at the bottom to have ready for your 1st lesson.


Student Name: ________________________________________________________________________


Student Cell Phone Number: _____________________________________________________________


Parent’s or Guardian’s Name: ____________________________________________________________


Parent’s or Guardian’s Cell Phone Number: _________________________________________________


Parent’s or Guardian’s Name: ____________________________________________________________


Parent’s or Guardian’s Cell Phone Number: _________________________________________________


Address: _____________________________________________________________________________


e-mail address: _______________________________________________________________________


Any Special Accommodations for the student above? ____________________________________


_____________________________________________________________________________________



These are your choices for our Driving Education Programs at First Steps Driving School:


This 6 Hour Package Includes - 4 Lessons of 1 ½ Hours or 3 Lessons of 2 Hours

Time

Cost

1 Hour

$80

1 ½ Hour

$105

2 Hours

$140



Certificate - Once the student completes at least 6 hours of behind-the-wheel driving, he or she will receive a certificate that the driver can show to his or her insurance company. Most insurance companies give an insurance premium discount of 5% or more off the cost of your insurance premium. Also, we will sign a form so that a student may receive his or her unrestricted driver license early if applicable.


Cancellation Policy




Return Check Policy – There will be $40 fee for returned checks before we will drive again.


Your Student Driver Educational Choice is: ______________________________________________

RELEASE AND WAIVER OF LIABILITY AGREEMENT



I, _________________________________________ (“Participant”), acknowledge that I have voluntarily applied to participate in the following activities with First Steps Driving School and its instructors. I will be taught the fundamentals of driving and skills necessary to become a driver on the road. I AM AWARE THAT THESE ACTIVITIES ARE HAZARDOUS ACTIVITIES AND THAT I COULD BE SERIOUSLY INJURED OR EVEN KILLED. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN.

I verify this statement by placing my initials here: ________________

Parent or Guardian’s initials (if under 18):_____________________

As consideration for being permitted by First Steps Driving School, in the State of Pennsylvania, to participate in these activities and use of the First Steps Driving School vehicles and facilities, I forever release the First Steps Driving School, First Steps Driving School Instructors, and any of First Steps Driving School affiliated organizations and School Districts, and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively “Releasees”) from any and all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or (iii) the condition of the premises where these activities occur, whether or not I am then participating in the activities. I also agree that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release.


I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE 1st Steps Driving School, 1st Steps Driving School Instructors, and anyone associated with First Steps Driving School. I, the (“Participant”), HAVE SIGNED IT OF MY OWN FREE WILL.

If Signed by Parent or Guardian: I verify that the dangers of the activities and the significance of this Release and Waiver were explained to the Participant and that the Participant understood them.



Driver Signature: _________________________________________ Date: _______________



Parent or Guardian Signature if Driver is Under 18 years of Age that is signing the release Waiver:



_______________________________________________________ Date: ________________


FIRST NAME SURNAME AGE NAME OF SCHOOL CHURCH
FIRST PRESBYTERIAN CHURCH A SYNOPSIS OF ISSUES
MATLAB PROGRAM FILE ODE02M THE FIRST


Tags: driving school, steps driving, first, steps, leechburg, school, driving