I (
), on this day, do agree to the stipulations stated below rendering me
the privilege of driving my parents' cars. If, at any time, I violate the said
agreement, the driving privileges will be forfeited to the extent and degree of violation.
(1) Should I get a traffic violation ticket, I agree to pay for the ticket as well as the
difference in the insurance
premium for as long as the premium is in effect.
(2) I agree to pay for damages that I incur not covered by insurance.
(3) At no time will I ever drink alcoholic beverages and drive at the same time, nor will
there be any liquor or
beer in the car at any time.
(4) I will never transport more passengers than there are seat belts, and will not drive
the car until all passengers
have buckled up.
(5) I will keep the car that I drive clean, inside and out, and be aware of its needs for
gas, oil, etc., plus wax the
car once a month.
I have read the above agreement and do sign this in accordance with the rules.
Signed,
(
) Child
(
) Parent
(
) Parent
Date: ( )
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