I,_______________________________,willdrivecarefullyandcautiouslyand
willbecourteoustootherdrivers,bicyclists,andpedestriansatalltimes.
IpromisethatIwillobeyalltherulesoftheroad.
Alwayswearaseatbeltandmakeallmypassengersbuckleup
Obeyalltrafficlights,stopsigns,otherstreetsigns,androadmarkings
Staywithinthespeedlimitanddrivesafely
Neverusethecartoraceortotrytoimpressothers
Nevergiveridestohitchhikers
IpromisethatIwillmakesureIcanstayfocusedondriving.
Drivewithbothhandsonthewheel
Nevereat,drink,oruseacellphonetotalkortextmessageswhileIdrive
DriveonlywhenIamalertandinemotionalcontrol
CallmyparentsforaridehomeifIamimpairedinanywaythat
interfereswithmyabilitytodrivesafely
Neveruseearphonestolistentomp3playerorotherelectronicdevices
whileIdrive
IpromisethatIwillrespectlawsaboutdrugsandalcohol.
DriveonlywhenIamalcoholanddrugfree
Neverallowanyalcoholorillegaldrugsinthecar
Beapassengeronlywithdriverswhoarealcoholanddrugfree
IpromisethatIwillbearesponsibledriver.
DriveonlywhenIhavepermissiontousethecarandIwillnotletanyone
elsedrivethecarunlessIhavepermission
Drivesomeoneelse'scaronlyifIhaveparentalpermission
Payforalltrafficcitationsorparkingtickets
Completemyfamilyresponsibilitiesandmaintaingoodgradesatschool
aslistedhere:______________________________________________
Contributetothecostsofgasoline,maintenance,andinsuranceaslisted
here:_____________________________________________________
Continued
AdditionalPromises:
____________________________________________________________________________________
Iagreetothefollowingrestrictions,butunderstandthattheserestrictionswillbemodifiedby
myparentsasIgetmoredrivingexperienceanddemonstratethatIamaresponsibledriver.
Forthenext_____months,Iwillnotdriveafter________pm.
Forthenext_____months,Iwillnottransportmorethan_______teenpassengers(unlessIam
supervisedbyaresponsibleadult).
Forthenext_____months,Iwon'tadjustthestereo,electronicdevices,orair
conditioning/heaterwhilethecarismoving.
Forthenext_____months,Iwillnotdriveinbadweather.
IunderstandthatIamnotpermittedtodrivetoofflimitlocationsoronroadsandhighwaysas
listedhere:
____________________________________________________________________________
Additionalrestrictions:
____________________________________________________________________________
Iagreetofollowalltherulesandrestrictionsinthiscontract.Iunderstandthatmyparentswill
imposepenalties(seebelow),includingremovalofmydrivingprivileges,ifIviolatethe
contract.IalsounderstandthatmyparentswillallowmegreaterdrivingprivilegesasIbecome
moreexperiencedandasIdemonstratethatIamalwaysasafeandresponsibledriver.
Penaltiesforcontractviolations
Droveafterdrinkingalcoholorusingdrugs
Nodrivingfor______months
Gotticketforspeedingormovingviolation
Nodrivingfor______months
Droveafternightdrivingcurfew
Nodrivingfor______weeks/months
Drovetoomanypassengers
Nodrivingfor______weeks/months
Brokepromiseaboutseatbelts(selfandothers)
Nodrivingfor______weeks/months
Droveonaroadortoanareathatisofflimits
Nodrivingfor______weeks/months
Signatures
Driver:_______________________________________
Date:________________
Parentpromise:Ialsoagreetodrivesafelyandtobeanexcellentrolemodel.
Parent(orguardian):____________________________
Date:________________
Parent(orguardian):____________________________
Date:________________
AdaptedfromtheAmericanAcademyofPediatricsParentTeenDrivingAgreement
(www.aap.org/publiced/BR_TeenDriver.htm)