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: _____________________________________________________

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


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: ________________