June 15 @ 6:30 pm


Ayala and Associates Driving School License No. C3207

5015 De Zevala Suite 102 San Antonio, TX 78249 (210) 690-6276

Student's Full Legal Name*:  Date of Birth*:

Driver's License #: Area Code*:  

Phone Number*: Student's Street Address*:  

City*: State*: Zip Code*:  

E-mail Address*: Student's Cell*:  

Mother's Cell #*: Father's Cell #*:  

CLASSROOM & BEHIND-THE-WHEEL INSTRUCTION - CONCURRENT COURSE

Number of Lessons: 16  Length of Course: 32 hrs  Length of Lessons: 2hrs  Cost per Lesson: $___

Number of Lessons: 7  Length of Course: 14 hrs Length of Lesson: 2 hrs  Cost per Lesson: $___

Course Rate: $450

A no-show fee of $30 will be charged if the school is not notified of a cancellation at least 24 hours prior to a scheduled in -car lesson. A fee will be assessed if a student defaces or damages any school property (desk, tables, textbooks, etc.)

  Parent's Initial  

All drives Tuesday through Friday must be cancelled 24 hours in advance. All drives Saturday through Monday must be cancelled no later than 12pm Friday. Failure to do so will result in a $30 no show fee. There will be no charge if a replacement is found.

  Parents Initial  

Classroom instructions begins 06/15/2020 at 6:30 pm and is expected to end 07/06/2020. All classroom make-up assignments and in-car instruction must be completed by 12/15/2020.

Parents Initials  

ATTENDANCE / ABSENCE

A full hour of absence is charged to the student when he/she does not attend the full 55 minutes of instruction during a 60-minute period. If a student is absent in excess of 10 classroom hours, the student enrollment will be terminated from that class.

Parent's Initials  

ACKNOWLEDGEMENT

I have been furnished with the school's tuition and fees; cancellation and refund policy; and school regulations pertaining to absence, grading policy, progress and rules of operation and conduct. I further realize that any grievances not resolved by the school may be forwarded to: TDLR P O BOX 12157 AUSTIN TX 7811. Telephone: (800) 803-9202 or 512-463-6599. 

  • This agreement constitutes the entire contract between the school and the student and no verbal assurances or promises not contained herein shall bind the school or the student.
  • The school is prohibited from issuing a DE-964 if the student has not met all of the requirements for course completion, and the student should not accept a DE-964 under such circumstances.
  • This driver education school maintains business vehicle insurance as required by the Transportation Code, Chapter 601, and uninsured or uninsured coverage

READ ENTIRE CONTACT BEFORE SIGNING A copy of the contract must be given to the parent and a copy maintained by the school.

My initials below signify that I do NOT want my son/daughter to receive individual (one-on-one) instruction. I understand this decision may delay the behind-the-wheel training until another student can be scheduled. Parent's initials if one-on-one driving is REFUSED

Parent's Initial  

Date of Signature:

Leave this empty:

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Ayala Driving School https://ayaladriving.com
Signature Certificate
Document name: June 15 @ 6:30 pm
lock iconUnique Document ID: 38c134a7699c2b972714a44bf2bf2797bd9b4060
Timestamp Audit
May 5, 2020 5:34 pm CDTJune 15 @ 6:30 pm Uploaded by Marc Alonso - troycasanova@gmail.com IP 76.85.110.42