BUCKLE UP DRIVING SCHOOL ON LINE STUDENT REGISTRATION GUIDE
PARENT INFORMATION
STUDENT NAME_______________________________________________
HIGH SCHOOL________________________________________________
HOME ADDRESS______________________________________________
HOME PHONE________________________________________________
STUDENT CELL_______________________________________________
PARENT CELL________________________________________________
Do not schedule your test date with the BMV until you receive your certificate from Buckle Up. ALL CERTIFICATES WILL BE MAILED NO EXCEPTIONS.
Online students will complete 3 two hour and forty minute in-car sessions.
Students must provide.
1. Their original 24-hour certificate from their on-line provider
2. A copy of their valid temp license prior to scheduling in-car appointments
3. Full payment must be made prior to scheduling in-car appointments at registration.
Our cost is $650.00. We accept cash, checks or money order for full payment at registration. Made payable to Buckle Up Driving School. If a check is presented for payment, please be aware the final certificate will be held until the payment is processed, up to 20 days from deposit.
Students must have temporary license with them at all drives. Students must have at least 20 hours of driving time with parent prior to scheduling in-car sessions.
Please provide sunglasses and/or glasses if needed. No flip flop shoes. Proper driving shoes required.
Students must be alert during drives. Students must be physically fit to drive.
Pick up and drop off location will be determined when you call to schedule the in-car session.
Per contract, there will be a cancellation fee of $75.00 with less than 24-hour notice.
***Certificates will be mailed to the home address on file within five business days after the last driving session providing all paperwork is on file and payment has been processed, no exceptions.
Please sign, date, and return with completed contract for registration register.
__________________________________________
Parent Signature
___________________________________________
Parent Email
_______________________________
Date
Revised 1-15-2023