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 _______ p.m.
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 will not adjust the stereo or other electronic devices
or the
air conditioning / heater while the vehicle 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 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 or 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 (or guardian): ____________________________ Date: ________________
Parent (or guardian): ____________________________ Date: ________________
Parent‐Teen Driving Agreement
from the American Academy of Pediatrics “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 players 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: ____________________________________________________________________
Driving Agreements
One
of
the
more
effective
ways
to
deal
with
Rules
and
Consequences
is
to
draw
up
a
Driving
Agreement
with
the
Novice
Driver.
There
are
many
examples
available
on
various
websites
-
select
and
adapt
an
agreement
that
suits
your
own
family
and
situation.
Whatever
you
choose,
keep
your
agreement
clear,
concise
and
enforceable
-
“Say what you mean, mean what you say, and do what you say you’re going to do.”
Following
is
one
example
of
a
Driving
Agreement.
There
are
a
number
of
links
to
Driving
Agreements on the Extra Resources page of this site