Application form

BESSIE COLEMAN FLY GIRLS & BOYS

APPLICATION FORM
- Student Name
  
  Student NameMiddle NameLast Name
- Birth Date
  
  MonthDayYear
- Student E-mail
  example@example.com
- Student Telephone Number
- Student Mobile Number
- Present Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Person to contact in case of emergency:
  Parent/Guardian
- Relationship
  ex. Father, Mother, etc.
- Address of person to contact in case of emergency
- School Name
- School Address
- Grade
- Sports
- GPA
- Subjects
- Other Skills/talents
- Do you have any scholarship?
- If Yes, who/what is the name of your sponsor?
- Enter the words shown:
- Each Student must write a essay on the Tuskegee Airmen and Bessie Coleman One page. Second Tell me something about yourself. Our class is every fourth Saturday of the month. We do fly on some Saturdays. Some classes may be on zoom. If you miss a class you must make it up on zoom. Accept for hands on skills like the flight Simulator: Contact Ms. Jacqueline Withers 720.350.3230 or by email: jacqueline_withers@yahoo.com. Age is 8 - 18.
- Should be Empty: