Please make sure that you have read and printed out the Refund information form in regards to the cancellation of your school registration form. Please make all checks payable to Centerville Florists. Your enrollment is only complete when the application form and registration fee have been received, processed and you have received your acceptance letter into the program from the school. If you choose the credit card method for payment of your enrollment fee, please call the David-Curtis School of Floral Design at 1-800-437-7894, or 1-937-433-0566 locally within 10 business days and give your credit card number to a school representative. Failure to follow this procedure will result in the cancellation of your online registration.


Please provide the following student contact information:

First Name (*)

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Last Name (*)

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Middle Initial

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Street Address (*)

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Apt, Suite, etc.

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City (*)

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State/Province (*)

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Zip/Postal Code (*)

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Country (*)

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Email Address (*)

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Telephone (*)

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Please identify and describe yourself:

Date of birth (*)
/ /
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Which class session would you like to register for? (*)   View Calendar

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Is this your first degree? Please select one (*)

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Please enter your Social Security Number or State Driver's License Number (required by the State of Ohio Board of Career Colleges & Schools ) (*)

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If you are currently connected with a florist, please fill in the following information:

Name

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Title

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Organization

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Street Address

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Address (cont.)

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City

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State/Province

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Zip Code

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Country

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Work Phone

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FAX

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Email

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Tuition will be paid by: (*)

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If person other than student is paying tuition, please provide the following information:

First Name

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Last Name

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Middle Initial

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Street Address

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Apt, Suite, etc.

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City

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State/Province

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Zip/Postal Code

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Country

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Email Address

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Telephone

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Digital signature of payee: Please type your name:

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As required by the State of Ohio Board of Career Colleges & Schools Registration Administrative Rule 3332-1-09, "it is the schools responsibility to determine with reasonable certainty, in advance of the acceptance of a prospective student's enrollment, that the student meets the minimum basic admissions qualifications to successfully assimilate the program they intend to enter." Please answer this question: Why would you like to enter the floral industry? (*)

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What do you hope to accomplish after graduating from our course? (*)

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Add the following amounts: Twenty-five dollars, plus six dollars, plus one dollar and sixty-three cents? (*)

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Multiply one dollar and twenty cents by the number four. What is the answer? (*)

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Divide thirty-five dollars by the number four. What is the answer? (*)

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What is fifteen percent of seventy-five dollars? (*)

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Do you have any health conditions or physical limitations which would prevent you from successfully completing the course? Please select one: (*)

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If Yes, please explain:

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By typing my name in below, I declare that I have completed all answers by myself to the best of my ability. I also confirm that no other person persuaded my answers in anyway (*)

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Method of registration payment? (*)

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Type what you see: (*)
Type what you see:
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