Wings for Autism® Waitlist

Please complete this form to be placed on the WAITLIST for the Wings for AutismĀ® event on October 21, 2017 at McCarran International Airport (LAS). Participants will be boarding the aircraft in two shifts at either 10:30am or 11:30 AM, however we will ask that you arrive at the airport about an hour earlier to allow for ample time to check-in and pass through security. All individuals 18 years old and over are required to bring a valid form of government-issued ID to be allowed through security.

Due to limited space, up to 4 individuals are allowed to attend per family.  T-shirts will be provided for the participant and family members/support staff attending the event with them. 

If you have any questions or need assistance with completing this form, please contact Jennifer  Strobel at or 702-368-3328.

Attending this event means you give your consent for everyone attending to have their picture/video taken and give The Arc, FEAT, the airport and airline permission to use any photos/videos in future promotional materials.Ā  *

First Participant
Full legal name (as it appears on a government-issued ID) of participant with disability:
Gender Identity *
Diagnosis of individual with disability: * 
T-shirts will be available for participants at this event. Please provide your size. *