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Parent/Teen Driving Agreement

Provided by: The Insurance House


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.

  • Drive with both hands on the wheel
  • Never eat, drink, or use a cell phone to talk or text while I drive
  • 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
  • Never use headphones to listen to music on an mp3 player or other electronic device 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
  • Never accept a ride if the driver is not also alcohol and drug free

I promise that I will be a responsible driver.

  • Drive only when I have permission to use the car and 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: ____________________________________________________

Additional Promises:



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, air conditioning/heater or any electronic devices 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 contract violations:

  • Drove after drinking alcohol or using drugs

No driving for ___ months.

  • Got ticket for speeding or moving violation

No driving for ___ months.

  • Drove after night driving curfew

No driving for ___ weeks/months

  • Drove too many passengers

No driving for ___ weeks/months

  • Broke promise about seat belts (self and others)

No driving for ___ weeks/months

  • Drove on a road or to an area that is off-limits

No driving for ___ weeks/months


I agree to follow all the rules and restrictions in this contract. I understand that my parents will impose penalties including removal of my driving privileges, if I violate the contract. I also understand that my parents will allow me greater driving privileges as I become more experienced and as I demonstrate that I am always a safe and responsible driver.



Driver: ______________________________________________     Date ________________

Parent promise: I also agree to drive safely and to be an excellent role model.

Parent (or guardian): ___________________________________    Date ________________

Parent (or guardian): ___________________________________    Date ________________


2014 Zywave Inc. All Rights Reserved.

Posted 12:35 PM

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