PDX Flying Squad Enrollment Form - Monthly
Please fill out this form for enrollment in PDX Flying Squad. After you have submitted, we will review your form and send you an invoice for payment. If you are looking to join for a single day, please fill out this form instead: https://docs.google.com/forms/d/e/1FAIpQLSecRwOCbeVBK33ewHpqiFfwhtqNwKWD5dcUOKwd1Bol5s2BHg/viewform?usp=sf_link
Full Name of Attendee *
Your answer
Age of Attendee *
Your answer
Attendee’s Preferred Pronouns *
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email *
Your answer
Additional Parent/Guardian Name
Your answer
Additional Parent/Guardian Phone Number
Your answer
Additional Parent/Guardian Email
Your answer
Additional names of people authorized to pick-up your child (parent/guardians listed above are automatically authorized to pick up children)
Your answer
Any allergies we should know about?
Your answer
How did you hear about us?
Your answer
We operate on a sliding scale so that families who cannot afford the full price have access to the program. Our monthly scale is $150-$250/month. Please write-in the amount, within this range, that your family can pay. *
Your answer
Would you like to automatically re-enroll monthly? If so, we will invoice you each month. You are welcome to let us know if anything changes for you. *
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