Cleared for Takeoff Application
Application for KidsFlyCubs.org Flight Camps
Date of Birth
I am a citizen of the United States with a Passport or Birth Certificate available (Only US citizens are eligible due to TSA regulations):
Flagler Palm Coast HS
Grade in School (next year 2019-2020)
Do you have any physical restrictions to climbing, standing, jumping, walking?
Which Camp Dates Can You Attend? (The greater your availability, the better your chances of being selected)
June 3-6, 2019
June 17-20, 2019
June 24-27, 2019
My weight with clothing on is _____ (You will be weighed at registration for aircraft limitations):
< 100 pounds
> 190 pounds
I have the approval of my parent or legal guardian to participate. (A parent or guardian must be present on the first day of camp to sign their approval and show your passport/birth certificate).
Emergency Contact: Name and Phone Number
Personal Statement: Each applicant is required to submit a personal statement of 150-250 words answering the following question: "Please tell us what attending this program would mean to you."
Teacher Recommendation: Each applicant is required to have a teacher write a short statement regarding your suitability for this program. Have them email this statement to:
Your application will not be considered without their recommendation. Please list the teacher's name below:
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