Student Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Student Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Student Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Student Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email for Receipt {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Secondary Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Secondary Contact Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Terms & Agreement
Lesson Package- Fees Charged {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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- Student has 12 months from the day of enrollment to complete the course
- Student may be removed from the program for disruptive behavior
- If payment is refunded/returned or not made this contract is void
- Pick up is avalible in all of Milwaukee County and parts of Racine County (East of I-94)
This constitutes the entire agreement between the school and the student and no verbal statement or promises will be recognized. This school will not refund any tuition or part of tuition if the school is ready, willing and able to fulfill its part of the agreement. There will be a $50 fee for all Behind-the-Wheel no shows and cancellations with less than 24hrs notice. This fee must be paid before a student’s next lesson.
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{binding StudentNameCheckingBoxConstituesALegalSignatureForThisAgreementAndThatYouHaveReadAndUnderstandTheAbove_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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TurningPoint Driving School for Adults LLC Representative Signature:

Jeremy Cain , General Manager