Permission Form/Registration

Please fill out this form and click submit.

Youth Name

*

Date of Birth

*

Email

*

This address will receive a confirmation email

Phone

*

T-Shirt Size

*

Please select one option.

YOUTH Small YOUTH Medium YOUTH Large ADULT Small ADULT Medium ADULT Large ADULT XL ADULT XXL

Grade entering Fall 2024

*

School Attending

*

Graduation year

*

Do you have a family member working at UPS?

*

Please select one option.

No Yes If yes Who:

Parent 1 Name

*

Parent 1 Phone

*

Parent 1 Email

*

Parent 2 Name

*

Parent 2 Phone

*

Parent 2 Email

*

Emergency Contact Name

*

Emergency Contact Relationship

*

Emergency Contact Cell

*

PARENT CONSENT: By electronically signing this agreement - you give consent to participate in any and all activities, including young eagle flight, transportation to and from camp activities. Ground transportation will be provided by senior youth leaders and adult volunteers. We will be given authorization to tour secured areas which will require mature behavior. Please talk with your child as we will have zero tolerance policy regarding behavior. Please electronically sign below:

Parent Electronic Signature

*

PHOTO CONSENT: Flight Club 502 requires permission to use your child’s photograph publicly to promote flight camps and flight club. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Photo Consent

Please select one option.

Yes

Description

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