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Application Form
You can now download
an application!
After you have
printed the
application, have
your candidate fill
out the Applicant
Section completely.
Then, fill out the
Sponsor Section
completely. You, as
the Sponsor, should
review the
application in its
entirety. Make sure
that all the
information is
filled out
accurately and
completely and
required signatures
have been obtained
(Any application
that is not
completed fully will
be returned to the
Sponsor). Submit the
application, with
the required
registration fee to
the registrar.
Your applicant may
be placed on a
waiting list since
there are a limited
number of spaces
available for each
weekend.
The Weekend fee is
currently $55.00 per
candidate. The
balance is due, in
full, prior to the
Weekend.
The registration
deposit for each
applicant is $15.00.
This is a
non-refundable
registration deposit
for any application
received. We cannot
accept an
application without
this deposit.
Please send the
application and
$15.00 registration
fee to
Florida Crown
Chrysalis,
Registrar
Donna Hammond
3439 Fitch
Street
Jacksonville,
FL 32205
Phone:
904/384-3117 •
Fax:
904/389-1176
Email:
registrar@fcchrysalis.com
To download
application:
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