I, _______________________ , will drive carefully and cautiously and will be courteous to other drivers, bicyclists, and pedestrians at all times.
I promise that I will obey all the rules of the road.
Always wear a seat belt and make all my passengers buckle up.
Obey all traffic lights, stop signs, other street signs, and road markings.
Stay within the speed limit and drive safely.
Never use the car to race or to try to impress others.
Never give rides to hitchhikers.
I promise that I will make sure I can stay focused on driving.
Never text while driving (writing, reading or sending messages)
Never talk on the cell phone---including handsfree devices or speakerphone---while driving.
Drive with both hands on the wheel.
Never eat or drink while driving.
Drive only when I am alert and in emotional control.
Call my parents for a ride home if I am impaired in any way that interferes with my ability to drive safely, or if my driver is impaired in any way.
Never use headphones or earbuds to listen to music while I drive.
I promise that I will respect laws about drugs and alcohol.
Drive only when I am alcohol and drug free.
Never allow any alcohol or illegal drugs in the car.
Be a passenger only with drivers who are alcohol and drug free.
I promise that I will be a responsible driver.
Drive only when I have permission to use the car and I will not let anyone else drive the car unless I have permission.
Drive someone else's car only if I have parental permission.
Pay for all traffic citations or parking tickets.
Complete my family responsibilities and maintain good grades at school as listed here: __________________________________________________________________
Contribute to the costs of gasoline, maintenance, and insurance as listed here: ________________________________________________________________________________
I agree to the following restrictions, but understand that these restrictions will be modified by my parents as I get more driving experience and demonstrate that I am a responsible driver.
For the next _____ months, I will not drive after ________ pm.
For the next _____ months, I will not transport more than _______ teen passengers (unless I am supervised by a responsible adult).
For the next _____ months, I won't adjust the stereo, electronic devices, or air conditioning/heater while the car is moving.
For the next _____ months, I will not drive in bad weather.
I understand that I am not permitted to drive to off-limit locations or on roads and highways as listed here: __________________________________________________________________________________
Additional restrictions: ____________________________________________________________________________________________________________________________________________________________________
Penalties for Agreement Violations:
Drove while texting (composed, read or sent message or email with phone).
Drove while talking on the cell phone (including handsfree or speakerphone).
Drove after drinking alcohol or using drugs.
Got ticket for speeding or moving violation.
Drove after night driving curfew.
Drove too many passengers.
Broke promise about seat belts (self and others).
Drove on a road or to an area that is off limits.
I also agree to drive safely and to be an excellent role model.
Parent (or guardian):
Parent (or guardian):