Other Registration Forms
FLY Quest Registration
 
Student Information
- Student’s name - Date of birth
- Age - Gender Male:  Female:
- Student’s address - City
- Country - ZIP Code
- Phone number - 1st language
- E-mail address    
Medical Information
Primary contact
- Name - Relation
- Phone number - E-mail address
     
Secondary contact
- Name - Relation
- Phone number - E-mail address
       
- Diseases or allergies, past or present:
- Activities student cannot take part in:
       
- Currently on medication?
  Yes No: 
 
- If Yes, what kind?
2010 Sessions
Full package - Quest University
Sessions
Weeks
Dates
Price
St
D1-02
2
July 4 – July 17
info@FlyExperience.com
D1-03
3
July 4 – July 24
info@FlyExperience.com
D1-04
4
July 4 – July 31
info@FlyExperience.com
 
D2-02
2
July 11 – July 24
info@FlyExperience.com
D2-03
3
July 11 – July 31
info@FlyExperience.com
 
D3-02
2
July 18 – July 31
info@FlyExperience.com
 
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*** By sending this form, you automatically register to a FLY Experience session.
A deposit of $875 CAD paid by check should follow. The balance must be paid before June 1st 2010. ***

***Discounts are offered to groups, family members and to all students registered before April 1st of each year.

* All sessions include one day of preparation at Collège Brébeuf
(D1= June 30, D2= July 7, D3= July 14)

We Accept Visa
Visa card accepted (2% extra charge)
FLY Experience
1203 du Haut-Bois
Longueuil, Québec
J4N 0A2
Canada
Any problems or questions? Please call us: 1-888 532-XFLY (9359)