Course Registration Form

Flight Student Registration Form

Fill out the form carefully for registration
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Flight Courses
How did you hear about the YourFlightSchool.com Flight Training you are interested in?
Additional Comments (Do you have any special requests relevant to your training?)
Payment Information:

Beneficiary: Accelerated IFR Training LLC

Regions Bank

2660 East Commercial Boulevard

Fort Lauderdale, FL 33308

ABA#: 0 6 2 0 0 5 6 9 0

Acct#: 0 3 6 9 9 8 4 3 0 1
Upload Wire Transfer Confirmation Screenshot (Verifying Payment is Complete)

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Should be Empty:

Flight Student Registration Form