Registration Form

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Birth Date*
MM slash DD slash YYYY
Cell Phone*
High School
Email
Please choose one
- Yes, I have a Driver's Permit.
- No, I do not have a Driver's Permit.
Learner's Permit Number:
Date of Issuance:
I would like to begin class on:
Will you be attending some or all classes at the 2025 Wilton Summer Accelerated Program?
- June Session
- August Session
- Neither, I will be attending in Ridgefield
- I'm not sure yet