Consent
Form
Supervised Driving
Program
Learner Driver’s Name:
This
form is aimed at those learner drivers who are under the age of eighteen years
of age and who wish to partake in the Valley Driving School’s
Supervised Driving Program, having
met the basic criteria.
To the Learner Driver:
As a learner driver
participating in the Valley Driving
School’s Supervised Driving Program, I agree to follow promptly and
without argument all the instructions/requests given to me by the Supervisor. I
also accept that the Supervisor has the final say on all matters related to the
driving experience and is free to exercise any such judgement at their
discretion. This includes me relinquishing driving for that particular session
with the Supervisor assuming all driving duties. I also consent to sharing the
vehicle with the Supervisor for the express purpose of supervising my driving
in my quest to accumulate the required 120 hours of driving experience as
determined by Vic Roads. I also consent, where appropriate, for the Supervisor
to dispense first-aid to me in case of injury and take whatever actions, where
practicable, in a manner that any reasonable person would ordinarily expect.
Name: Signed: Date:
To the Parent/Guardian:
As the parent/guardian
of ,
I give consent for her/his participation in the Valley Driving School’s Supervised Driving Program for the
express purpose of providing supervision for my daughter’s/son’s driving
experience in their quest to accumulate the necessary 120 hours driving time. I
also consent to passing full authority to the Supervisor to make whatever
judgement calls they deem necessary with respect to my daughter’s/son’s driving
capacity in the name of safety and due care. In the case of an emergency, I
authorise the Supervisor to execute whatever course of action they can sensibly
perform, including first-aid, and where practicable (given the circumstances),
in a manner that would ordinarily be expected of any reasonable person.
Name: Signed: Date:
No comments:
Post a Comment