Teen Driver/Parent Agreement

 A Short-term Safe Driving Contract

To be Periodically Revised as Teen Increases Experience and Maturity  

This agreement is in effect on ____________and will be reviewed on______________.

  Teen/Parent to Initial Each Factor:

• Be Safe and Obey the Law

______/______   Never use alcohol or drugs.

 ______/______   Never ride with a driver who has been drinking alcohol or using drugs.

 ______/______   Obey speed limits and all traffic laws and signs.

 ______/______   Never race with another vehicle or train.

 ______/______   Never drive aggressively (follow too closely or cut others off).

 ______/______   Wear a safety belt at all times, as a driver or passenger, regardless of distance.

 ______/______   Always insist that every passenger wear a safety belt.

 ______/______   Number of passengers will not exceed State law nor parent’s rule.

                                    Legal Limit:_______      Parent’s Rule:________

 ______/______   Always check blindspots before passing and changing lanes.

• Be Responsible

______/______   Get permission from a parent before each trip.

                                       Provide the following information for each trip:

                                    ______/______ Where I am going;

                                    ______/______ Who will be passengers;

                                    ______/______ When I will return; and

                                    ______/______ What roads I will use.

 ______/______   Accept the fact that my actions are my responsibility, both on and off the road.

 ______/______   Will never get behind the wheel when angry or upset.

 ______/______    Will be responsible for the safety of my passengers and myself.

 ______/______   Will drive defensively by being alert at all times.

 ______/______   Will not become overly confident in my driving abilities.

 ______/______   Will not drive another vehicle nor permit anyone to drive my vehicle.

 ______/______   Will not eat while driving.

 ______/______   Will not use a cell phone while driving.

 ______/______    Will adjust the radio/CD player to conversational volume before driving.

 ______/______    My curfew begins at ______on weekday nights and ______on weekend nights.

  Will call home immediately if:

                                    ______/______ -I am going to be more than ______minutes late.

                                    ______/______ -my plans changed while I am out.

                                    ______/______ -I can not get home safely.

 ______/______   Parent agrees to respond reasonably if teen calls.

 ______/______   Will not neglect my everyday responsibilities:

                                    -school grades and homework;

                                    -home chores.

 ______/______   If I run-off the road, I know safe recovery procedures.

    My driving privileges may be lost for not complying with any of the above and will be lost for _____  weeks or months on the first offense for:

                                     ______/______ -using alcohol or drugs;

                                    ______/______ -receiving a ticket for speeding or following too closely;

                                    ______/______ -lying about trip destination;

                                    ______/______ -not buckling up or requiring all passengers to buckle up;

                                    ______/______ -having more passengers than allowed; and

                                    ______/______ -racing or performing any act which places me or my                                                                                                              passengers’ health or life in jeopardy.

 ______/______   I pledge to always follow the agreed upon conditions.

______________________________________________________________________________

Signature of Teen Driver                                                                  Date

Signature of Parents                                                                                   Date