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Youthful Driver Safety Agreement

My Driver Safety Agreement

Driving is a privilege that I may lose by violating this agreement or may have suspended for other reasons such as (but not limited to) unsatisfactory school grades and violations of family trust.

  • I will obey any curfews or restrictions imposed by my driver's license.
  • I will obey all traffic laws and speed limits.
  • I will not drink and drive, or use illegal drugs, or drive if I am taking ANY medication that may affect my driving.
  • I will not ride with anyone whom I know or suspect is under the influence of alcohol or drugs (legal, or illegal).
  • I will not permit any open or empty containers of alcohol, or transport anyone who I know or suspect may be carrying illegal drugs in any vehicle I operate.
  • I will not ride in any vehicle where I know that there are empty or open containers of alcohol or where anyone who I know or suspect may be carrying illegal drugs.
  • I agree not to drive with or transport anyone who is in possession of any weapon.
  • I will always wear my seatbelt and shoulder harness. I will not ride in any vehicle in which there are more people than seat belts.
  • I will make certain that I can always hear emergency vehicles and traffic sounds.
  • I will drive defensively.
  • I will not transport passengers unless they are properly secured by a seatbelt.
  • I will always wear a helmet if I am driving or riding on a motorcycle. I will not transport a passenger unless he or she also wears a helmet.
  • I will drive in a manner that respects the safety of myself, my passengers, other drivers and pedestrians.
  • I will ignore peer pressure. While driving, I am in control. I can stop and ask others to leave my vehicle and, as a passenger, I can ask a driver to stop and let me out.
  • I will not drive unless I feel safe and certain of my ability.
  • I will be especially alert during dangerous conditions such as rain, snow, sleet, wind, heavy traffic, fog, unlit roads, construction zones, and accident scenes.
  • I will always lock every door and take the keys when I leave the vehicle. I will park in areas where I believe the vehicle will be safe from damage or theft.
  • I will obey the driving instructions of my parent(s) and of law enforcement officers.

__________________________________________________________

__________________________________________________________

I have read, understood and I will comply with this agreement.

Signed______________________ Witnessed_________________________

Date:_______________________

Some Content Provided By: © Insurance Information Institute, Inc. - Used With Permission ALL RIGHTS RESERVED

 “Terry is a “tops” as a service representative—very friendly, knowledgeable, considerate of customers needs, the most professional insurance advisor that I have worked with.  With her, I never have to worry about my insurance coverage.”
       Bill Lyon - Retired local banker

“We are totally satisfied with our recent switch to The Bradshaw Agency. For the first time we have had a comprehensive integrated package which works with our financial planning. Your staff has worked hard on our behalf to get the best coverage for the best price.”
Bonnie Russell and Phillip Russell

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