Big Rapids High School Segment 1 Application

High School? *

High School not listed above?

Type of school *

Last Name *

First Name *

Full Middle from BC *

Birthdate *

For accuracy, please re-enter Birthdate *

Street Address *

City *

State *

Zip code *

What is the closest large intersection that is nearest to your house that someone familiar with the area might recognize? Please list the name of the 2 roads that intersect.

Email *

Main Phone Number *

2nd phone in case the 1st one doesn't work.

Please select the Zoom class below. *

Hybrid, Zoom Online, 10 of 12 days. June 24th to July 11th, 6:30pm-8:30pm: 3 weeks, Mon-Thu. $499/$549, 1st and last day at Big Rapids High School, Conference Rm. 115, 1pm to 3pm*Limited Spaces Available*
Hybrid, Zoom Online, 10 of 12 days. July 29th to Aug. 15th, 6:30pm-8:30pm: 3 weeks, Mon-Thu. $499/$549, 1st and last day at Big Rapids High School, Conference Rm. 115, 1pm to 3pm*Limited Spaces Available*
Hybrid, Zoom Online, 10 of 12 days. Tues, Sept. 3rd to 19th, Week 1, Tues. to Fri., Week 2, Mon. to Thurs., Week 3, Mon. to Thurs., 6:30pm-8:30pm: 3 weeks, Mon-Thu. $499/$549, 1st and last day at Big Rapids High School, Conference Rm. 115, 6:30pm to 8:30pm*Limited Spaces Available*
Hybrid, Zoom Online, 10 of 12 days. Mon., Sept. 30th to Oct. 17th, Mon. to Thurs., 6:30pm-8:30pm: 3 weeks, Mon-Thu. $499/$549, 1st and last day at Big Rapids High School, Conference Rm. 115, 6;30pm to 8:30pm *Limited Spaces Available*
Hybrid, Zoom Online, 10 of 12 days. Mon., Oct. 28th to Nov. 14th, 6:30pm-8:30pm: Mon-Thu. for 3 weeks. $499/$549, 1st and last day at Big Rapids High School, Conference Rm. 115, 6:30pm to 8:30pm*Limited Spaces Available*

We run classes all year long. More classes coming soon. If you don't see the month and day, please list the month and day you would like.

Adult?

If under 18, is the student at least 14 years 8 months before the 1st day of class? *

Yes!
No. We need to wait for a later class.

Thank you for your patience as we ask you several more questions to help the registration process go smoothly. During the 6 weeks surrounding the desired Segment 1 class time frame, for your practice driving, you may be picked up at your house or a McDonalds or another agreed upon location. During this 6 week time frame mentioned, the student will need to remain at this main home address for pickup and dropoff. So we can plan your driving practice, during the 6 weeks of Segment 1 driving practice, at what home address will you be living and available for pickup? *

Do you expect to move anytime during Segment 1? *

To the best of your knowledge, during the 6 weeks surrounding the desired Segment 1 class timeframe, can you estimate any conflicts that may arise. Doctor appointments, vacations, sports practices, concerts, travel. Please list below, anything that may be a conflict. *

You will need to be picked up at least 6 different days and be in the practice car for about 2 hours. During Segment 1, you will need to drive behind the wheel for a total of at least 6 hours and observe in the back seat for at least a total of 4 hours. Some students are homeschooled, have online classes or attend in person classes and do online. On Monday through Friday, would you be available for pickup at home to do practice driving from 11am to 2:30pm? *

If you answered yes to the previous question, please list the exact days and times you are available to practice drive before 2:30pm on weekdays.

On weekdays, would you be available for pickup immediately after leaving your high school (about 2:30pm) or from home (about 2:30pm) until 8pm? *

For the behind the wheel practice, please select your preferred pickup point for the 6 different days practice driving sessions. The BTW Practice Driving Instructor will discuss actual pickup time and place and may use your preferred pickup point or another agreed upon location. *

Are you available to drive on weekends? *

Classes may be online Zoom or in person classes. Please note that the student must attend all 12 , 2 hour class sessions. A minimum of at least 6, 1 hour practice drives and 24 hours of class work must be completed in order to receive a certificate of completion. If all driving, class work and testing is not completed in a short period of time, the student may not pass the class. It is imperative that the parent/mentor and student understand that absences must be avoided. By selecting "I agree" you understand this Secretary of State requirement. *

I agree

Covid 19 Release Form *

By checking this box, you have read, acknowledge, understand and agree to the Covid 19 release form.

COVID19 RELEASE FORM

The coronavirus, COVID-19, SARS-Cov-2 is a highly contagious virus and there is a very high probability that you will be exposed to the virus while engaged in an activity with Major Driving School LLC. That being the case, we are asking that you carefully read and sign this release form.

I, the undersigned, make this agreement as road test or driver education applicant or parent/legal guardian of undersigned. In consideration of the road test applicant or driver education student, my/Children’s participation in the driving instruction and/or road testing and any and all events or activities in relation thereto (collectively the “Activity”) permitted by Major Driving School, LLC and with the understanding that my/Children’s participation in the Activity is only on the condition that I enter into this agreement for myself/the Children and myself, our heirs and assigns, I hereby assume the inherent and extraordinary risks involved in the Activity, and any risks inherent in any other activities connected with the Activity in which I/the Children may participate. I expressly assume the risk of and accept full responsibility for any and all injuries or decease (including death) which may occur as a result of my/the Children’s participation in the Activity and release from liability Major Driving School, LLC, its and their officers, directors, agents, representatives, heirs and employees. I hereby waive any and all claims I or the Children may hereafter have as a result of any and all injuries disease or sickness (including death) to myself/the Children as a result of my/the Children’s participation in the Activity. I hereby agree to indemnify all of the above named persons for any and all claims, including attorney’s fees and costs, which may be brought against any of them by anyone claiming to have been damaged as a result of any injury, sickness or disease (including death) to myself/the Children which may occur as a result of or during the Activity. I understand that the Activity may be dangerous and that physical injury, sickness from the property damage or death may result. I certify that I have read and fully understand this release. I am of lawful age and legally competent to make this agreement. I understand that I am waiving any and all claims I or the Children may have against Major Driving School, LLC, its officers, directors, agents, representatives, heirs and employees as the result of participation in the Activity.

Road Test Applicant: ________________________________________ Dated:________________

Student:_________________________________________________ Dated:________________

Parent/Guardian Signature:____________________________________ Dated:________________

Please read our terms of service. *

I have read the terms of service

We want your experience with Major Driving School LLC to be a quality, positive experience. We offer a professional setting with experienced teachers.

An informed parent or mentor is a good, happy parent or mentor.

Below are our TOS (Terms of Service). Please read them completely and bring any questions to the parent meeting on the 1st day of class. Once you have read them, please check the box saying “I have read and agree to the TOS”.

We look forward to serving your driver education needs!

Special Needs/Disabilities
Please inform the office manager and the instructor if you have any special needs such as a learning disability or a physical disability. An adult may read the 80 question test to a student if desired. Please let the instructor know. With your help, we will try to make accommodations that will help you succeed during your driver education class.

Attendance Policy
If you miss a class or scheduled roadwork, it will need to be made up within 3 weeks after the last day of S1. All classwork and road work, start to finish, must be completed in 6 weeks. In the event you do need to miss a class, please inform MDS ahead of time.
You must pass the 80 question written test and the road work in order to pass the course. You need to pass the written test with 70%, -24 or better. You will also need to pass the 6 hours of behind the wheel driving.

Parent Driving Permit
I understand that the Parent Driving Permit (Pink Slip) allows my child/student to drive while taking driver education and that I should make sure I have automobile insurance while practice driving with the Parent Driving Permit. Please exercise caution when practicing with the student.

Segment 1 Certificate of Completion
The student will soon be receiving a certificate of completion after s/he passes the Segment 1 class. Here are some important points to remember:
1. You MUST take the certificate of completion to the Secretary of State office to obtain your teen’s LEVEL 1 LICENSE. Do this as soon as possible after receiving the certificate of completion.
2. Your child CANNOT drive on just the certificate of completion.
3. DO NOT delay in getting your teen’s white Level 1 license. Your teen needs to hold the Level 1 license for 6 months or 180 days (from the day it was issued) in order to take the road test and obtain a Level 2 license.

Private Drive Approval
It is the goal of Major Driving School to always have at least 2 students in the driver training car. However, due to special scheduling situations, it is sometimes necessary that a student drive by themselves with the instructor. Furthermore, if your child is the last one to be taken home after a training lesson, s/he may be the only student in the car for a short time. If your child is scheduled for a private drive, s/he may have a relative or friend who is at least 15 accompany them.

Road Work Reminders
1. Cancellations/Reschedules – 24 Hour Rescheduling Period. Each drive you receive is tentative. You will have 24 hours from when you receive a drive time to cancel or reschedule. If not changed within that 24 hour period, please keep the scheduled drive. Once the golden 24 hour period has passed, if you cancel or don’t show, there may be up to a $50 rescheduling fee.

2. On the day of your drive:
A. Please look for your instructor, listen for the car horn and be at the door waiting.
B. Be ready at least 15 minutes early.
C. Leave at least 30 minutes after the end of your drop off time. Your drive may go longer.
D. Stay at your pickup point unless your instructor tells you to leave. If at your high school, DO NOT get on the bus unless your instructor personally tells you to do so.
E. You will usually be scheduled in groups of 2 or more.
F. Your drive times are approximate times. Times may be adjusted slightly due to weather, traffic, or scheduling changes.
G. Your instructor will usually pick you up within 5 or 10 minutes of your pick up time but s/he may be up to 30 minutes late or on rare occasions, even 60 minutes late. Please do not assume your drive is canceled unless your instructor calls you and talks to you personally.
H. Your instructor may be late or early but will rarely cancel. Due to vehicle repairs, accidents, or unforeseen traffic delays, your instructor may have to cancel, but this will not happen often. We will be there for you.
3. Please bring your white “In Car Instructor Observations” form and your yellow “In Car Observation” form to ALL drives.
4. If possible we will be able to pick you up at your house or we may ask you to meet us at another location. This will be determined on or after the 1st day of the class.
5. In some cases your road work will be done by the last day of written class work. Most of the time it will take an extra week or two after the written class is over. It will depend on the scheduling and class size. If for some odd reason you don’t complete the classwork and practice driving in 4 weeks, it may take up to another 2 weeks, for a total of 6 weeks to complete.
6. If you miss a drive or need to reschedule, your make-up drives will need to be finished within 3 weeks after the last day of the S1 class.
Security Camera Program
I give Major Driving School, LLC permission to use security cameras or cameras in the classroom and in the driver education automobiles. Some still shots may be posted on our website or social media if client and parent approve. All security camera files will be archived by Major Driving School, LLC. They will be kept private and will not be used for resale or public use.
You may be asked to give Major Driving School, LLC permission to post stills on their website or social media with parent approval.

Driving Task Requires Maturity
Because the driving task requires maturity, proper behavior, appropriate attitudes, compliance with laws and cooperating with other drivers, these qualities must be developed or present in each student. Any student who displays an improper attitude towards authority, other students, or others involved in the classroom, may not be prepared to get behind the wheel of an automobile. In light of this, none of the following will be permitted in the classroom or near the vicinity of the classroom building: horseplay, inappropriate or disruptive behavior, an uncooperative spirit, a poor attitude, or misconduct of any kind. Any displays of such may result in expulsion. There will be no smoking at any time.

Additional Fees
Additional fees may be charged in the event of abusive property damage. This property includes the classroom location, classroom furniture and/or fixtures, automobile, and other materials which are part of the operations of Major Driving School. Fees may be for repair or replacement as necessary. A $30 book replacement fee may also be assessed. If a refund is requested, there may be a service fee. Up to a $20 fee may be charged for any replacement certificate for S1, S2, or Road Test.
Thank you!, Major Driving School LLC

Congratulations! You have just completed the 1st of 3 steps needed to begin your Segment 1 class with Big Rapids area premier driving school, Major Driving School LLC. We are experienced and professional. Simply complete the Segment 1 contract and make your payment. Once you make your payment in full, your spot is guaranteed. You will receive a payment receipt from Square and soon after a confirmation email from Major Driving School. If you don't see either within 48 hours, please contact us at majordrivingnow@gmail.com or 810-743-8217. If you change your mind, your payment is fully refundable if requested at least 7 days before class begins. Please leave any comments below.