Thank you for your interest in Flight36!

Please complete the form below and a Flight36 staff member will contact you to schedule an appointment to review your application and to answer any questions about our program.

* Application will be reviewed by the Flight36 Advisory Board.

Son's Name:   Church Name:
Son's Date of Birth:   Pastor's Name:
Parent's Name:   School Name:
Parent's Date of Birth:   School Phone:
Email Address:   Doctor's Name
Mailing Address:   Doctor's Phone:
City:   Ins. carrier:
State/Zip:   Policy Number:
Home Phone:   Employer Name:
Mobile Phone:   Employer Phone:
 
Has he accepted Jesus Christ as his savior? If so, please provide a brief description.
 
List the Sports/Hobbies that he enjoys:
 
Does he have any learning disabilities? If so, please provide a brief description.
 
Does he have any physical or behavioral conditions? If so, please provide a brief description.
 
Does he have any medical conditions or medications? If so, please provide a brief description.
 
Briefly explain your son's strengths and talents he exhibits:
 
Briefly explain your son's weaknesses or character flaws he needs to work on
 
Briefly explain the relationship with his father:
 
Briefly explain what you expect your son to benefit from Flight36:
 

Navigation Menu

Enroll Your Son
Please complete the online application. Once received, you will be contact by a representative to answer any questions and provide you with the next step in the enrollment process.
> Online Application

A Mother's Story
Let me introduce you to my 11 yr. old son, Keith. He has come a considerable way since joining Flight36.
> Read More
   
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