+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. 388 Main StreetMonroe, CT 06468203-268-6040 45 North Parade StreetStratford, CT 06615203-268-6040 The DDEC Boca Raton7777 Glades Road, Suite 100Boca Raton (561) 245-4636, FL 33434 Facebook Twitter Google+ Pinterest LinkedIn Youtube Home About Our Mission History Testimonials Links Videos Programs Packages Classes for Teens Classes for Adults (18+) Schedule DDEC – Special Needs Diagnostic Driving Rehabilitation Program DDEC Autism Spectrum Disorder ADHD Hearing Impaired Senior Citizens Driving Evaluation Down Syndrome Contact Us Privacy Policy Shop Private Driving Lesson Mandatory Eight Hour Course Basic Program Basic Plus Program Deluxe Program Ultra Program Drug and Alcohol/Safe Driving Practices Classroom Only (Monroe, CT) Classroom Only (Stratford, CT)* On-The-Road Instruction Diagnostic Driving Evaluation Center (Monroe, CT) Diagnostic Driving Evaluation Center (Boca Raton, FL) Diagnostic Driving Evaluation Center Weekends (Monroe, CT)