Registration Form : Ridgefield Driving School

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email

Birth Date*

School

Please check one box

Learner's Permit Number:

Date of Issuance:

I would like to begin class on:

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.)

Registration Form