Top Driver - Online Enrollment

There are either no classes currently scheduled at this location or the student is not eligible for the classes scheduled based on the student’s birth date. To change birth date, click here. If you wish to be contacted by a Top Driver Customer Service Representative, please complete the form displayed, click Submit then a Top Driver Customer Service Representative will contact you within two business days or call 1.800.374.8373.
	Student First Name:	*
	Student Last Name:	*
	Parent First Name:	*
	Parent Last Name:	*
	Home Phone No.:	*
	Email:	*

Email ID: *

Please enter the student’s birth date:

Student Birth Date:    *

* Birth dates are used to determine the student’s eligible
classes

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Top Driver Programs for Darien High School

Home pickup is now available for driving lessons conducted on or after April 1, 2011. This new service will only be available for students who live in the 06820 zip code. All other students will continue to be picked up at Darien High School.

Program Name	Description	Price	Select

Silver Program	30 hours of classroom & 8 hours of in-vehicle training. Save up to 15% on car insurance and get your driver's license 60 days sooner!	$699.00

Prices are subject to change without notice.

Comment or make suggestions on our programs

Student Information * Required

NOTE: Enter the student’s FULL LEGAL NAME to ensure certificate validity. Please ensure your address is accurate including the type of street (e.g Street, Avenue, Lane, Road, Court, etc).

First Name:	*	Student Email:	*
Middle Name:		Confirm Email:	*
Last Name:	*	Home Phone:	*
Address:	*	Student Cell Phone:
City:	*	Date of Birth:
State:		Permit Number
Zip:	*	Permit Date
Referral Code:		High School:
Gender:	*

Parent Information

First Name:	*	Parent Email:	*
Middle Name:		Home Phone:
Last Name:	*	Parent Cell Phone:
Address:
City:
State:
Zip:

Click here to add Second Parent

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