Project Flourish programs w/ SUFS funding
To use this form and payment process, you must already be approved for SUFS.

Families only need to submit this form once per school year to register as a SUFS participant w/ PF.

Once your form is received, PF will email a unique discount code. Your discount code allows you to enroll learners in classes directly from our website without payment.
Email *
Parent/Caregiver Name *
Email: *
Phone Number: *
Learner 1 Name & Age   *
Learner #1  
 *
Learner 2 Name & Age  
Learner #2
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Learner 3 Name & Age  
Learner #3
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Learner 4 Name & Age 
Learner #4
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A copy of your responses will be emailed to .
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