colorado registration and waiver - MasterDrive Experience

Colorado Registration and Contract/Waiver Form

Registration

Please complete the required registration form and contract/waiver below. We must have a copy of this form on file for you to be able to participate in your class(es) and training.

Preferred MasterDrive location?(Required)

Legal First Name of Student(Required)

Legal Middle Name of Student(Required)

If the student doesn't have a middle name, enter a space. If the student has two middle names, enter both. If they don't have a middle name, type "none".

Legal Last Name of Student(Required)

Parent/Guardian Full Name

Additional Parent/Guardian Authorized to Schedule On Behalf Of Student

Student Date Of Birth(Required)

DMV Pre-Registration Number(Required)

The Colorado DMV has recently announced that you are required to pre-register with the DMV PRIOR to academic training. If you are enrolling in a program that requires this and your student does not have a permit, please provide your pre-registration number. Complete your pre-registration here: https://mydmv.colorado.gov/_/#9

Student's Permit or License Number(Required)

If the student doesn't have a permit or license yet, enter "none".

Student's Permit or License Issue Date(Required)

If the student doesn't have a permit or license yet, enter "none

Student's Permit or License Expiration Date(Required)

If the student doesn't have a permit or license yet, enter "none

Parent/Guardian Phone Number(Required)

Additional Parent/Guardian Phone Number

Email(Required)

This has to match the email we have on file. Yahoo email accounts have known delivery issues.

Enter Email Confirm Email

Additional Parent/Guardian Email

Yahoo email accounts have known delivery issues.

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State ZIP Code

Auto Insurance Company(Required)

Family-provided vehicles used during training as well as the STUDENT DRIVER must be fully insured during the period of participation in any MasterDrive training program.

Auto Insurance Policy Number(Required)

Auto Insurance Coverage Start Date(Required)

Auto Insurance Coverage End Date(Required)

Insurance Company Mailing Address(Required)

Insurance Company Phone Number(Required)

How did you hear about MasterDrive?

About the student

To best understand the strengths of new students, please tell us about any hobbies, sports or activities the student participates in.

Educational impacts and accommodations

We strive to provide individualized coaching to students of all abilities. Please provide our team with any additional information pertinent to the student's training with our company. We may decide to adapt the content, methodology, or delivery of instruction. Providing this information ensures that training is conducted as efficiently, thoroughly and safely as possible.

Contract and Consent(Required)

MasterDrive Contract and Waiver of Liability / Release Agreement

This agreement constitutes the entire contract between MasterDrive and the student, and any verbal assurances or promises not contained herein are not binding on either the school or the student.

1. I understand that if my purchase is a package of services, that special pricing was made available to me to purchase these services in a bundle. Therefore, I acknowledge that partial refunds will not be available for unused portions of the package.

2. I understand that the agreement to deliver the defined training services will expire twelve (12) months after issuance of a permit or eighteen months (18) months after enrollment, whichever is later.

3. I agree to provide evidence that my vehicle and DRIVER are fully insured during the period of my participation in the MasterDrive training program, and my vehicle will not be equipped with studded tires.

4. I accept and assume full responsibility for my/my student's actions during all MasterDrive training. Participant's attendance is voluntary, and I/he/she elects to participate despite the inherent risks.

5. I do consent for the use of photographs and/or videotapes taken of me/my student for the purposes of promotion, marketing or distribution in any manner by MasterDrive.

6. By signing this document, I acknowledge that if I/my student is injured or if my property is damaged during my participation in this training, I/my student may be found by a court of law to have waived my/their right to maintain a lawsuit against MasterDrive, its agents, instructors, insurers, sponsors, employees, successors and assigns.

7. I acknowledge that if I have provided my personal and credit card account information to MasterDrive, solely for the purpose of allowing fees to be charged on my credit card for services provided. If I have entered into a payment plan agreement, I give MasterDrive permission to retain my personal and credit card information for ongoing charges pursuant to the payment plan that I have entered into with MasterDrive.

8. I understand that at the sole discretion of MasterDrive, any monies refunded to customers will be assessed a 5% fee to cover banking and processing fees incurred by MasterDrive, for payments received.

9. I agree to endeavor to keep scheduled training events and understand that there may be reschedule fees unless MasterDrive is notified more than 48 hours in advance of a training event. Fees are as follows: $50 for classroom, on-street sessions, tests, in office appointments, and $150 for each four hours of range training, $75 for shorter range training sessions.

10. By signing this document, I agree to receive emails, phone calls and text messages from MasterDrive, including reminders of training events, inventory releases and communications concerning changes in curriculum.

11. I understand that MasterDrive may make a decision to reschedule training events due to weather. These decisions are made thoughtfully with the goal to keep students and staff as safe as possible.

12. Under this agreement an instructor may not provide behind-the-wheel training to more than two individual students per session.

13. MasterDrive partners with our students and clients in the training process and if there is a breakdown in that partnership we reserve the right to cease training, cancel appointments and at our discretion refund monies owed for services not provided. Any refund will be minus a 5% payment processing fee.

14. Live Classroom sessions are typically 8 hours in length and total thirty (30) hours of classroom instruction. Details of the Self Paced Online Classroom option are provided in the log-in instructions sent to the purchaser, or by calling 800-942-2050 Monday-Friday 8am -5pm Central. Behind-the-wheel sessions are two hours in duration and typically total six (6) hours of instruction, other amounts are available. Details of each package of training sessions or separate training sessions can be found at www.masterdrive.com. Availability and scheduling may be accomplished by calling (720) 893-1249 Monday - Friday between 8am - 5pm Mountain.

I acknowledge that I have read ALL sections of the agreement and I agree to the terms of this Contract and Waiver of Liability / Release Agreement

Signature(Required)

Participant (over 18 years) OR Parent/Guardian of under 18 Participant, type your name to serve as your signature.

Contact Us

Denver Office - Centennial
15659 E. Hinsdale Drive Centennial, CO 80112
(720) 893-1249

Colorado Springs Office - North
3280 E Woodmen Road Ste 100
Colorado Springs, CO 80920
(720) 893-1249

Colorado Springs Office - South
620 Southpointe Ct, #130
Colorado Springs, CO 80906
(720) 893-1249

Denver Office - Castle Rock
210 Fifth St
Castle Rock, CO 80104
(720) 893-1249

Northern Colorado Office - Ft Collins
3115 East Mulberry
Ft Collins, CO 80524
(720) 893-1249

Northern Colorado Office - Loveland
1501 N. Cleveland Ave.
Loveland, CO 80538
(720) 893-1249

Denver West Training Location
Colorado Center for the Blind Lot 2233 W Shepperd Ave, Littleton, CO 80120

Office Hours

M-F: 8am - 5pm

Our offices are closed on weekends, but students are in classes, on-street sessions and in driving camps.