ABE Wings for All® Registration

Please complete this form for all individuals attending the Wings for AllĀ® event on May 11, 2019 at Lehigh Valley International Airport (ABE). Participants will be boarding the aircraft at 10:45 AM, but we ask that you arrive at the airport by 9:00 AM to allow ample time to check-in and pass through security. 

Due to limited space on the plane, individuals with disabilities are allowed to have only one family member/support staff accompany them onto the aircraft. However, two additional family members/support staff are allowed to attend the event, but will not be permitted on the plane.     

Participants 18 years old and over are required to bring a valid drivers license or passport to be allowed through security. T-shirts will be provided for the participant with a disability and the one family member boarding the aircraft with the participant.  

If you have any questions or need assistance with completing this form, please contact Patrick Kreshock at pkreshock@arcoflehighnorthampton.org or 610-849-8076 ext 351. 

First Participant
Full legal name (as it appears on a government-issued ID) of participant with disability:

Gender Identity *
 +
Diagnosis of individual with disability: * 🛈
 
Ethnicity
 
T-shirts will be available for all participants with disabilities. Please provide your size. *
 
I consent to having my photo taken as part of this event. *