+1-203-268-6040

Located In Stratford CT, Monroe CT and Boca Raton (561) 245-4636 FL

Student Information Form

    Student Details

    First Name*

    Last Name

    Date Of Birth*

    Email*

    Street*

    City*

    State*

    Zip*

    Home Phone Number*

    Cell Phone

    Parent Details

    First Name

    Last Name

    Home Phone Number

    Cell Phone

    Email

    Address if different from student.

    Street

    City

    State

    Zip

    Learner Permit Picture*

    Parent Drivers License Picture

    *** Parent information not needed if student is over 18.

    Main office:
    Knepler Driving Schools
    388 Main Street
    Monroe, CT 06468
    203-268-6040

    Satellite offices:
    Knepler Driving Schools
    Trumbull High School
    72 Strobel Rd
    Trumbull, CT 06611
    203-268-6040

    Knepler Driving Schools
    Stratford Continuing Education
    468 Birdseye Street
    Stratford, CT 06615
    203-268-6040

    Knepler Driving Schools
    Sterling House Community Center
    2283 Main Street
    Stratford, CT 06615
    203-268-6040

    Valley Regional Adult Education
    The Richard O. Belden Cultural Center
    54 Grove Street
    Shelton, CT 06484
    203-268-6040

    Chase Driving School
    A Knepler Driving Schools company
    63 Unquowa Rd
    Fairfield, CT 06824
    203-268-6040

    The DDEC Boca Raton
    7777 Glades Road, Suite
    100 Boca Raton FL 33434
    (561)245-4636