Experience Driving School,LLC
20971 E. Smoky Hill Rd. #104
Centennial,CO. 80015-5186
Phone 720-870-7105 / Fax 720-870-7085

DRIVER EDUCATION COURSE CONTRACT
Experience Driving School,LLC agrees to provide this instruction to
this student upon proper payment.

First Name________________ MI.____ Last___________________

DOB___/___/___ Parents Name_____________________________

Street______________________City__________ST.___Zip_______
             (303) (720)                       (303) (720)                
H.Phone ____________C.Phone___________E-mail_____________

Package A  30 Hours class in 10 modules of 3 hr. duration.
                6 Hours Behind the Wheel Training                $ 410.00

Package B  As above with additional 4 Hrs of Behind the Wheel
                                                                                $ 550.00

Package C  Either Simulator Course -
                   "Street Ready" or "Defensive Driver"           $ 140.00

Package D  Behind the Wheel Hourly Rate                       $ 50.00

Pick-up or drop-off charge for BTW                                 $ 15.00
Pick-up AND drop -off charge for BTW                             $ 20.00

License Road Tests                                                      $ 35.00/$50.00
  Retest after failure                                                    $ 10.00

Payment Method__________________   Total       $___________

The Contract is for this student only and non-refundable or transferable.
Parents Signature _______________________________________

Students Signature ________________ Experience Driving _______