Workshop Registration Form

Registration form and payment in full must be received one week prior to start of class.

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 Workshop
titled___________________________ having a length of ______ hours and a
maximum fee of $__________.