First Name                                                               Last Name
            

Street Address                                                             Town
       

State                              Zip Code 
                

Telephone                     Alternate Phone
               

(This number is for .)

E-mail                                                           ;                Birthdate
        

School


Check One:

I have a Learner's Permit        I do not yet have a Learner's Permit

                                           

Learner's Permit Number                             Date of Issuance
                       

Please check below which of the following you would like us to send to you:

  Brochure giving details of our program                                Connecticut Law Manual
 Application for Learner's Permit issued by DMV                  Confirmation Letter for Starting Date
 Application for Learner's Permit issued by RIDGEFIELD DRIVING SCHOOL (includes parental consent form that must be notarized.)

Orientation sessions for new students are Mondays at 6:00 P.M. (You do not need a learner’s permit to start class,
but you must be 16 years old.)

I would like to begin class on Monday, .  Click Here to Pick up the date (Click on the calendar icon.)

 

 


Home | Directions | FAQ's | Hints for Parents | Schedule & Fees | Driving Strategies | Contact Us | Useful Links
 


10 Roberts Lane, Ridgefield, CT 06877 - Phone: 203-438-6675 (office) - 203-438-2331 (classroom)