Intensive Teen & Young Driver’s School

Intensive Teen & Young Driver’s School Did you know that automobile accidents are the leading cause of death among 15-25 year olds? Teen-Safe offers a comprehensive driving school that provides your child with the skills so that he/she does NOT become another driving fatality. Teen-Safe provides: • A thorough introduction to the world behind the wheel of an automobile. • One-day course that teaches proper visual and car control skills for real-world scenarios. • In-class course curriculum: proper attitudes, maintaining the vehicle, situational awareness, and distraction avoidance techniques. • In-car exercises: proper seating position and mirrors, proper braking (w/wo ABS), accident avoidance/lane change maneuvers, and skid control exercises. • A Certificate of Completion. • Lunch for all participants. • $100 CASH refund to parents who choose to observe the full day’s lessons What is needed:  A safe insured vehicle, preferably the vehicle that the student uses regularly.  A current Learners Permit or Drivers License.  Save the date: Sunday, February 26, 2012  Arrive at Homestead Miami Speedway with a willingness to have fun and learn. How to Enroll: Enrollment is limited to 12 students. Fill out the enrollment form on back or online at www.teen-safe.com. You may also contact Bob Van Epps at 954-741-0990. Tuition: Less than one insurance deductible payment, see below for details. Payment Details: $395.00 Registration. Parents who observe the lessons, at the completion of the day, the parent will be refunded $100.00 in cash. Additional Information: Please contact Bob at info@teen-safe.com or at 954-741-0990 for answers to your questions. www.teen-safe.com Intensive Teen & Young Driver’s School Application Please print. STUDENT INFORMATION Student’s Name:_______________________________ Date of Birth:Age: Driver’s License #:_____________________ Email:_________________________________ Address:_________________________________ Contact Phone: _________________________ City:State: Zip: PARENT INFORMATION Parent’s Name:____________________ Address (if different from student):_____________________________________ City:State: Zip: Contact Phone:___________ Email:___________________________________ Vehicle Make: _____________ Year:______________ Model:________________ Cancellation and Refund policy: As the number of students is severely limited, once the application is accepted and paid for, a cancellation with subsequent refund can only be accepted if a substitute student is found. Signature of Student’s Parent if Under 18 _________________________ Date ____________ Upon acceptance a questionnaire will be sent so that individual concerns can be addressed. Please send application and check to: teen-safe.com c/o Van Epps 7398 NW 20th Court Sunrise, FL 33313 www.teen-safe.com