Wings for Autism® Waitlist

Please complete this form to be placed on the WAITLIST for the Wings for Autism event on January 13, 2018 at Baltimore–Washington International Airport (BWI). Families should plan to arrive to the airport at 3:00 pm for registration. The event will run from 3:00 pm - 5:00 pm.
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 participant with a disability is allowed to attend with up to 2 family members accompanying them.  However, only 1 family member will be allowed to board the plane with the participant. T-shirts will be provided for participants and family members.  
If you have any questions or need assistance with completing this form, please contact Kelly Bell at or 410-296-2272 x5319. 
Full legal name (as it appears on a government-issued ID) of participant with disability:
Gender Identity *
Diagnosis of individual with disability: * 
T-shirts are available for participants at this event. Please provide your size. *
I consent to having my photo taken as part of this event. *