Skip Ribbon Commands
Skip to main content

Ages & Stages

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 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.
  • Always take my medicine on time (if I am taking medicine for ADHD) and not drive if I am unable to focus my attention completely on driving.

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: ____________________________________________________

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 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: ________________________________________________________________

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 ________________

For more information

Inclusion on this list does not imply an endorsement by the American Academy of Pediatrics (AAP). The AAP is not responsible for the content of the resources mentioned in this article. Web site addresses are as current as possible, but may change at any time.

 

Last Updated
11/4/2014
Source
Parent-Teen Driving Agreement (Copyright © 2007 American Academy of Pediatrics, Updated 9/2011)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.