PTI Wings for All® Family Registration

Please complete this form for the additional family members that will be attending the Wings for AllĀ® event on October 28, 2017 at Piedmont Triad International Airport (PTI). 

Due to limited space, up to 2 additional family members are allowed to accompany the participant to the event, but will have to wait in the gate area and will NOT be permitted to board the plane. 

Participants will be boarding the aircraft at 3:00pm, but we ask that your group arrives at the airport by 1:00pm to allow 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.

If you have any questions or need assistance with completing this form, please contact Linda Yurko at Lyurko@arcg.org or 336-373-1076 ext. 103.


First Family Member or Support Staff
*THIS INDIVIDUAL WILL NOT BE BOARDING THE PLANE WITH THE PARTICIPANT*
 
Full legal name (as it appears on a government-issued ID) of second family member or support staff:
Gender Identity *
calendar
The number provided above is my: *
Relationship to participant with disability: *
 
I consent to having my photo taken as part of this event. *