MSN Wings for All®
Participant Registration

Please complete this registration form for all individuals that will be participating in the Wings for AllĀ® event on October 19, 2019 at Dane County Regional Airport (MSN). Participants will be boarding the aircraft at 2:30pm, but we ask that you arrive at the airport 12:45pm 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 up to 2 family members/support staff accompanying them to the event. 

If you have any questions or need assistance with completing this form, please contact Meghan Teigen at arc.wingsforall@gmail.com or Anne Stevens at 608-833-1199. 

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

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