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Parent‐Teen Driving Agreement

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 messages 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 earphones to listen to mp3 player or other electronic devices

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: _____________________________________________________

‐Continued‐
      

   

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Adapted              from the American Academy of Pediatrics “Parent‐Teen      Driving Agreement”

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, 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:

I agree to follow all the rules and restrictions in this contract. I understand that my parents will

impose penalties (see below), 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.

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

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.aap.org/publiced/BR_TeenDriver.htm)