FLOT Jr Registration

STEP 1: Please complete the form below. Enrollment is on a first come, first served basis. Each session is limited to 30 students. Tuition is $200.

STEP 2: Complete payment using the link from http://www.flot.org/FLOT%20Jr.html to Vendini. Registration is not official until payment has been received.

Student's Name	*
Parent / Guardian First Name	*
Parent / Guardian Last Name	*
Email Address	*
Home Phone Number	*
Cell Phone Number	*
Work Phone Number	*
Address
City
State / Province
Zip / Postal
Select age appropriate session:	*
Date of Birth
		Male Female
Shirt Size
Before or after care for your student?		Yes No
Comments

Session 1 - June 4-8 - Ages 12-18
Session 2 - June 11-15 - Ages 8-11
Session 3 - June 18-22 - Ages 8-11