CLT Wings for Autism® Registration

Please complete this registration form for all individuals that will be participating in the Wings for AutismĀ® event on April 6, 2019 at Charlotte Douglas International Airport (CLT). Participants will be boarding the aircraft at 6:30pm, but we ask that you arrive at the airport by 5:15pm 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. T-shirts will be provided for all participants with disabilities. 

Due to limited availability, participation is reserved for first time attendees. We respectfully request that if you attended last year, you allow other families the opportunity to experience this unique event.  Per family up to 2 individuals with a disability are allowed to attend with up to 2 adult family members/support staff accompanying them to the event. However, only one family member will be able to board the plane with the participant. The other family member will be able to attend all other portions of the event, but will have to wait at the gate area while the participant is on the plane. 

If you have any questions or need assistance with completing this form, please Melanie Miller, at mmiller@thearcisthere.org or 704-261-1550 x 207. 

First Participant
Full legal name (as it appears on a government-issued ID) of participant with disability:
Gender Identity *
calendar
Ethnicity
 
Diagnosis of individual with disability: * 
 
T-shirts will be available for participants. Please provide your size. (t-shirt size may not be guaranteed) *
 
I consent to having my photo taken as part of this event. *