Wings for Autism® Waitlist

Please complete this form tp be placed on the waitlist for the Wings for AutismĀ® event on October 21, 2017 at Columbia Metropolitan Airport (CAE). Participants will be boarding the aircraft at 4:50pm, but we ask that you arrive at the airport by 3:00pm 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.

Due to limited space, 1 individual with a disability is allowed to attend with 1 family member/support staff accompanying them to the event. T-shirts will be provided for participants with disabilities.

If you have any questions or need assistance with completing this form, please contact Doug Finkelstein at 516-524-1796 or doug@arcmidlands.org.

Attending this event means you give your consent for everyone attending to have their picture/video taken and give The Arc, 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 *
calendar
Diagnosis of individual with disability: * 
 
T-shirts will be available for participants at this event. Please provide your size. *