Free to fly Online Registration

Registration

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Welcome to Free to Fly! Please complete the following registration form.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Cell #

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Skill Notes

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Skill Notes

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Skill Notes

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Skill Notes

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Skill Notes

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Program Rules and Policies

Membership Fee: All children participating in classes or private lesson must be a member of Free to Fly and pay a yearly membership fee of $40.
Sign Up by Week 8 of Previous Session: We ask/recommend that all children be signed up prior to session starting. This ensures that we have enough coaches scheduled to provide safe coach/child ratios. This helps in keeping your child safe and getting most from their classes.
Payment must be made at time of signing up for classes: This ensures your child's spot in the class that they have signed up for. Until payment is made your child's spot is not held in that class.
Credit Cards must be on file: We understand that everyone is busy and you may not realize that a session has ended and a new one has begun. If you show up for the next session and your account is not paid in full this allows us to charge your card and your child to participate in class.
Account must be paid in full for your child to participate in class
All credit cards that are charged and denied will have a $25 fee
Failure to pay tuition may result in your child's removal from class. This is embarrassing for your child and something we wish to avoid at all costs. IF YOU HAVE A SPECIAL SITUATION, PLEASE CALL OUR OFFICE. We will try our best to work with you.

I've read the above and agree.

Dual Release of Liability Waiver

I despite all reasonable precautions implemented for safety, am aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses associated with participation in the program or activities. I knowingly and willingly assume all such risks. Consequently, I hereby for myself, heirs, executors and administrators, do waive and release any and all rights and claims for damages against the owner, operators, coaches and other members of "Free to Fly" from personal injury or accident of any sort or nature suffered by me, the undersigned, by reason of participation or membership in classes, lessons or any programs or activities of "Free to Fly"

I've read the above and agree.

Minor Release:

I, the minor's parent and or legal guardian, understand the nature of these activities and the minor's experience and capabilities and believe the minor to be qualified, in good heath, and in proper physical condition

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*