Practice Driving Log
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2PRACTICE DRIVING LOG
Cumulative Time
Date
Drive Description
Licensed Driver Name
Start Time End Time Net Time
Day
Night
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STATE OF HAWAII
Department of Transportation
ACKNOWDLEDGMENT OF PRACTICE DRIVING
SS.
STATE OF HAWAII,
______________________ COUNTY OF ________________________
I, _______________________________________________, do solemnly swear or affirm under penalty of perjury that
I am a parent or legal guardian of ___________________________________________________ (minor), and that based on
my personal or otherwise reasonably obtained knowledge, said minor has completed forty hours of day-time driving,
and ten hours of night-time driving, supervised by a licensed driver over the age of twenty one.
Permit # _____________________________________ Exp. Date ________________ Birth Date__________________
__________________________________
Subscribed and sworn to before me this __________________
Signature of Parent/Guardian
day of ____________________________, 20 ______________
___________________________________________________
My commission expires:
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Parent category: Miscellaneous