I PROMISE.

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: __________________________________ 

_____________________________________________________________________________________________

PARENT-TEEN DRIVING AGREEMENT

I, _________________________________________, will drive carefully and cautiously 

and will be courteous to other drivers, bicyclists, and pedestrians at all times.
RESTRICTIONS:

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). 

NO DRIVING FOR ______ MONTHS

Drove while talking on the cell phone (including 

handsfree or speakerphone). 

NO DRIVING FOR ______ MONTHS 

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 agreement. I understand that my parents will impose penalties, including 

removal of my driving privileges, if I violate the agreement. 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.

SIGNATURES

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: ________________

WWW.CDC.GOV/PARENTSARETHEKEY

I PLEDGE!