RDU Wings for Autism®

Please complete this registration form for all individuals that will be participating in the Wings for AutismĀ® event on September 7, 2019 at Raleigh-Durham International Airport (RDU). Participants will be boarding the aircraft at 11:30am, but we ask that you arrive at the airport 10:00am to allow ample time to check-in and pass through security. A small reception will follow participants de-boarding the aircraft.

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 individuals with a disability is allowed to attend with up to 1 family members/support staff accompanying them to the event. All individuals attending the event must pre-register online.  Please do not bring individuals who are not registered online to the event.  

If you have any questions or need assistance with completing this form, please contact Jennifer Pfaltzgraff at jpfaltzgraff@arctriangle.org or (919) 942-5119 x117.  

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 may be available for participants at this event. If so, please provide your size. **T-shirt sizes are not guarenteed. *
I consent to having my photo taken as part of this event. *