|
| Parent/Guardian Name |
|
Parent/Guardian Telephone:
|
|
Parent/Guardian Email:
|
|
|
What
is your zipcode?
|
So we have some idea how far people are driving.
|
What is your child's name?
|
|
What is your child's school?
|
|
Is your child a member of a
Scout Unit?
Example Pack 123, Troop 92, Ship 300, etc? |
If a Scout, enter the unit here: |
What is your child's age?
Must be between 8 and 17
|
*
Years (8-17 only)
|
What is your child's gender?
|
Male
Female |
Would you be willing to
volunteer with us at future events? If so,
what would you like to do? (Check-in, flight
assignment, escort to planes, photography, etc.)
|
|
Anything else we need to know?
Any special needs or medical concerns?
|
|
| How did you hear about us? |
|
How many Young Eagles flights
have you received?
|
We love
repeat Young Eagles! :-)
|
Any special invitation code:
|
lIf you have a special invitation code,
enter it here:
Otherwise just leave that blank.
|
Spam Prevention:
|
Type the number below into the box
below (spam prevention):
0840 -->Type that number
here-->
|
|
|
