Revised 3/6/2019
Application to Aloha Driving Schools
(Please clearly PRINT the following, all information is kept confidential)
STUDENT NAME:_________________________________________ ____/____/______
LAST FIRST MIDDLE INITIAL START DATE
M F (Circle One) _____ ____/____/______ _________________________
AGE BIRTHDATE PERMIT#, or WA STATE ID#
MAILING ADDRESS:__________________________________________________________
STREET CITY ZIP
_____-_____-________ _____-_____-________ Texting?
HOME PHONE STUDENT CELL YES NO
___________________ _____-_____-_______ Texting? ___________________
PARENT NAME PARENT CELL YES NO PARENT EMAIL
High School: CHS WFW ONY NAP ADN TOL MOS MOR TNO ROC Other
I wish to make application to participate in the Aloha Driving Schools Traffic Safety Program. I am willing to give the necessary time
and effort in order to fulfill the requirements of this course as printed in the Aloha Driving Schools Philosophy on the reverse side of
this application.
It is further understood that it is necessary to pay $490.00, refundable only if I withdraw, in writing, up to the first day of class, minus
a $25.00 processing fee. The full $490.00 sum is due at time of enrollment, NOT by the first day of class. Please make checks payable
to “Aloha Driving Schools”. Refunds will NOT be granted for any reason for “dropping” the program after the first day of class, for
suspension, for expulsion, for failing the class, or for not completing the course within the dedicated timeframe.
I understand that I am required to drive an additional 50 hours outside of class with a parent/guardian in order to get my license.
I understand that I must have and bring my Washington State Instruction Permit to every behind-the-wheel (BTW) lesson. To cancel
a pre-arranged BTW lesson, I must notify the office at least one day in advance. If I do not bring my driving permit, do not bring my
required glasses/contacts, do not appear for a drive, or do not notify the office within the 24 hours before the drive time, I will pay
a $30.00 no show fee before the next drive. Students needing additional drives to pass the required skills will need to pay $45.00
per hour for each additional BTW lesson.
I have read and agree to comply with all of the philosophies, policies, and requirements as printed on the reverse side of this
application, including the “Intermediate License Restrictions”. If I have questions or concerns, I must contact the office or my
instructor within the first week of class.
Parent Initials _______ I acknowledge reading the Washington State Intermediate Driver License Requirements & Penalties.
As the parent/guardian, I fully approve of my student enrolling in the Aloha Driving Schools Traffic Safety Program and I will provide
additional supervised behind-the-wheel practice in addition to the minimum six hour lessons of in-car practice provided by the
Aloha Driving Schools’ driving instructors. An average of 2 to 3 hours of adult -supervised driving to each one half hour behind-the-
wheel lesson is recommended.
__________________________________________________
Parent/Guardian Signature
__________________________________________________
Student Signature
__________________________________________________
Date
For Office Use Only
