Las Vegas School of Floral Design
3275 Ali Baba Lane Suite #517
Las Vegas NV 89118
(702) 435-9783 fax (702) 435-9783
Web Page: www.lvsfd.com
E-Mail: info@juliereedevents.com

Enrollment Agreement

Name (last)______________ (first)______________ (m)______

Address______________________________________________

City_______________________ State_______ Zip___________

Date of Birth________________ SS No.____________________

Telephone (__________) ________________________________


I _______________________ have read and accepted the rules, regulations
and terms put forth by Las Vegas School of Floral Design for the course
titled___________________________ having a length of ______ hours and a
maximum registration and tuition total of $__________. It is agreed that
upon enrollment a $____________ registration fee will be paid. The balance
of $______________ will be paid prior to the first day of the scheduled class
unless the above payment schedule is applicable. The instruction in the above
will be offered _____ hours per day for the following weekdays _____________.
The applicant named above will maintain a grade level of _______ (or higher).
The course beginning date is__________ _______, 20____. Completion date
is ___________ _____, 20____. If the applicant fails to attend or is dismissed
the aforementioned refund policy will apply. The registration and tuition fee
of $__________ with the mandatory textbook fee of $__________ and the optional
tools fee of $__________ will create a maximum responsibility of $____________
to Las Vegas School of Floral Design.


____________________________ Director's Signature