APPLICATION 2023-24 SVDS is closed and no longer accepting applications.
PLEASE PRINT USING YOUR COMPUTER PRINTER. THEN COMPLETE LEGIBLY IN INK AND BRING TO FIRST DRIVE or CLASS. OTHERWISE WAIT UNTIL YOUR FIRST DRIVE or CLASS TO FILL OUT.
1. _____Individual lessons ____Adult 6+6 class (none scheduled) _____Bellows Falls DE Program
2. Vt. DMV Permit # PLUS date of issue___________________________________________________________
3. Legal Name (from permit) ________________________________________________________________
4. First name you use______________________________________________________________
5. Date of Birth_____________________________________________________________
6. Address (from permit) AND Mailing Address (if different) ______________________________________________________________________________________________
______________________________________________________________________________________________
7. STUDENT Email_______________________________________________________________________________
8. Phone (cell/home)_____________________________________/___________________________________________
TEEN STUDENTS ONLY
1. Parent/Guardian names_______________________________________________________________________________________
2. Parent/Guardian mailing address_______________________________________________________________________________________
____________________________________________________________________________________________________________________________
3. Parent/Guardian e-mails_________________________________________________________________________________________
4. Parent/Guardian phone (home/work/cell w/area codes)_______________________________________________________________________________________________________________________________________________________________________________________
ALL
For students taking individual lessons, payment is by the lesson ($120) or package (six lessons, nine hours total). Refunds for prepaid packages are figured by subtracting hours completed x $80 from $650. If the result is less than $0 no refund is due. The nine-hour package reduces hourly lesson costs by 10+ percent but does not necessarily make a student road-test ready. No shows or late cancellations for drives are billed for the cost of a full lesson. BF students and their parents/guardians agree to meet the mandatory drive schedule, make switches limited but as needed, honor requirements of first email from SVDS.
Your signature below indicates you have read and understand the above.
Student signature_____________________________________________
Date_____________________________
Parent signature (if student under 18)__________________________________________________Date______________________________
SVDS, Readsboro, VT 05350