* Name of Child with Special Needs:
* Please select a value
* Check this field.
* Check this field.
* Childs Birthday & Age:
You must enter the child's birthday, and you must enter the \
child's age to confirm.
Participant must be between the age of 7 to 21.
* Enter valid date of birth.
* Select State and zip
* Enter valid Email.
* You already select adult field. please revert that first.
* You already select youth field. please revert that first.
Please verify the correct size shirt needed for the participant,
as that will be the size he or she will receive
* Please note: You must arrive 30 minutes prior to your flight time in
order to sign in and attend ground school.
We will try our best to accommodate your desired flight preference. Time slots are assigned on a first come, first served basis. You will be notified of your flight time by postcard in the mail or by email prior to the event date.
* You should enter height & weight.
Due to weight sensitivity limits on small aircraft, the total weight of any
one passenger cannot exceed 250 pounds. Each individual participating
in the program will be weighed at the event. Legal weight limits are
established for each individual aircraft. Challenge Air MUST adhere to
these required, legal safety limits.
The Challenge Air program is designed exclusively to benefit children and youth living with a physical disability or life threatening illness.
PLEASE READ: Challenge Air reserves the right to determine the eligibility of any special needs participant registered for the Events program. There is a limit to the number of flight times available at each event. We will do the best we can to accommodate all qualified registrants; however, due to capacity constraints, no one is guaranteed a flight. If you are provided a flight time, we can only allow for the participant with special needs, plus up to two guests (no more), to participate in the actual flight. If you are provided a flight time, once at the event, if the participant with special needs decides not to take the flight, the flight is forfeited and will be offered to the next participant. In order to ensure that Challenge Air fulfills its stated mission to the fullest extent, only qualifying participants under age 21 will be permitted to register and participate. The information you provide will be kept confidential and used only to ensure the Challenge Air mission is upheld to the fullest extent. If you have any questions about qualifications, please contact Challenge Air at 214-351-3353, 877-FLY-KIDS, or email@example.com
Please select one of the following options that best describes the participant’s qualifying condition. If your selection is not on the list, please select "Other" and describe. Please note: We REQUIRE this information in order to ensure that Challenge Air fulfills its mission to its target audience. Applications will be considered incomplete and invalid without this information.