Parent/Guardian and Teen Driving Agreement
DIRECTIONS: Please fill out the following form. Upon completion, click on the button at the bottom of this page to review the contract. After both the Parent/Guardian and Teen review the contract please print and sign. Thank you!
1. Name of Parent/Guardian and Teen Driver
Parent's/Guardian's Name:
Teen's Name
1. Financial Responsibilities for Vehicle Costs (indicate who pays and how much)
a) Fuel: Parent/Guardian

Parent/Guardian
$
Teen
$
b) Maintenance: Parent/Guardian
Parent/Guardian
$
Teen
$
c) Taxes and Registration: Parent/Guardian
Parent/Guardian
$
Teen
$
d) Insurance: Parent/Guardian
Parent/Guardian
$
Teen
$
2. Maintenance responsibilities (indicate who has the responsibility for each item below)
a) Checking vehicle fluids:
Parent/Guardian
Teen
b) Checking tire pressure:
Parent/Guardian
Teen
c) Cleaning vehicle interior:
Parent/Guardian
Teen
d) Cleaning vehicle exterior:
Parent/Guardian
Teen
e) Cleaning vehicle windows:
Parent/Guardian
Teen
3. As a beginning driver I agree to:
a) Wear my seat belt when driving a motor vehicle and
require those in a vehicle I am operating to wear their seat belts.

If I do not comply the consequence will be:

b) Do well in school academically and behaviorally.

If I do not comply the consequence will be:

c) Obey traffic laws and drive safely at all times.

If I do not comply the consequence will be:

d) Agree not to drink and drive.

If I do not comply the consequences will be:

e) Comply with my curfew.

If I do not comply the consequence will be:

f) Comply with passenger restrictions.

If I do not comply the consequence will be:

g) Provide my Parent/Guardian with my destination and time of return.

If I do not comply the consequence will be:

h) Not allow others to drive my vehicle.

If I do not comply the consequence will be:

i) Call if I will be late.

If I don't comply the consequence will be:

j) Behave responsibly and be a courteous driver.

If I do not comply the consequence will be:

4. As the Parent/Guardian I agree to
a) Be patient.
b) Teach proper driving techniques.
c) Provide a safe and reliable motor vehicle for my child.
d) Make sure my child drives in accordance with the laws of the road and the vehicle laws of Virginia.
e) Not allow my child to drive when he/she is physically, mentally, or otherwise not able to drive safely.
f) Teach my child to be a courteous driver.
g) Always set a good example for my child in my use of and knowledge of the vehicle laws of Virginia.