Aviation Heritage Center Youth Aviation Adventure Day April 6, 2019
Please complete this registration form for each youth that is attending. There is a place for an additional adult to sign up for lunch at a nominal fee. Please mail a check written out to AHCW and mail to AHCW, N6191 Resource Drive, Sheboygan Falls, WI 53085. Please call Bridgett at 262.224.7553 with any questions.
Youth First Name *
Your answer
Youth Last Name *
Your answer
Mailing Address: Street *
Your answer
Mailing Address: City *
Your answer
Mailing Address: State
Your answer
Mailing Address: Zip Code *
Your answer
Youth Contact Phone Number *
Your answer
Email address for registration confirmation *
Your answer
Reason for attending *
Are you attending with a scout troop or other group? *
Name of group leader
Your answer
Email address of group leader
Your answer
Phone number of group leader
Your answer
Name of Emergency contact *
Your answer
Emergency contact Phone Number *
Your answer
Fees *
Required
Total Amount Due *
Your answer
Please mail check made out to AHCW to:
N6191 Resource Drive, Sheboygan Falls, WI 53085. Please call Bridgett at 262.224.7553 or bridgettneu@gmail.com with any questions.
Please Note: Each participant must have a waiver completed and signed by a parent/legal guardian or they will not be allowed to partcipate in the Young Eagles Flight. Forms will be emailed once registration is received.
N6191 Resource Drive, Sheboygan Falls, WI 53085. Please call Bridgett at 262.224.7553 with any questions.
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