Have you participated or volunteered in Take Flight for Kids or Day in the Sky before? Yes:    No:

How did you hear about Take Flight for Kids?  Select one 4-H Adoption / Foster Care Group Alum Rock Talks Another Organization (please tell us which one?) Asian Moms of the South Bay Bach Homeschool Group BAHFT Bay Area Home School Field Trips Bay Area Science Big Brothers Big Sisters Boy Scouts Boys and Girls Club Case Worker Cisco CENABLE Cisco Conexion Cisco WTAN Cisco Other (how?) City of San Jose Day In The Sky Day On The Beach E Clampus Vitus Email from Dean Email from Hot San Jose Nights Email from Mike Hennessy Email from The Car Guy Channel FCSN Friends of Children with Special Needs Flier at Palo Alto Airport Day Flier at School (please tell us which school) Flier Somewhere Else (please describe where?) Foundation Fighting Blindness Friend Fun Tips Google Internet Interact Jeena Magazine Bay Area Parents Magazine Other (please tell us which one) Autism Intervention Yahoo Group Morgan Autism Center NASA Neighborhood Association (please tell us which one) Newspaper (please tell us which one) PHP Parents Helping Parents Peninsula Parents of Special Needs Kids Radio (please tell us which station?) Postcard Rotaract Rotary San Jose District Newsletter (please tell us which district) Santa Clara County Santa Cruz Jaycees Shared Adventures PHP Parents Helping Parents School (which one?) SF Bay Area Homeschool Silicon Valley Down Sydrome Group Support for Families for Children with Disabilities Teacher Tivo TV (please tell us which station?) UTP Volunteered Before YSI Other - Please describe below        Other: <-- Or if you heard about the event through a flier at school, please tell us which school.

Which school would you like to credit with your attendance? School:

GUESTS may accompany you to the festival FREE How many guests/caregivers/family/friends will you be bringing to the festival: Guest 1's Name: Age:   Uses wheelchair or other mobility assistance device? Guest 2's Name: Age:   Uses wheelchair or other mobility assistance device? Guest 3's Name: Age:   Uses wheelchair or other mobility assistance device? Guest 4's Name: Age:   Uses wheelchair or other mobility assistance device? Guest 5's Name: Age:   Uses wheelchair or other mobility assistance device? Guest 6's Name: Age:   Uses wheelchair or other mobility assistance device? Guest 7's Name: Age:   Uses wheelchair or other mobility assistance device? Guest 8's Name: Age:   Uses wheelchair or other mobility assistance device? Guest 9's Name: Age:   Uses wheelchair or other mobility assistance device? Additional guests and ages and mobility needs, or comments about special needs of your guests:

Any comments? Anything else we need to know? Any medical conditions that might require special attention?

We thank you for Reserving free admission to the Festival Please click only once and wait up to 45 seconds. It can be slow. Don't forget to bring canned goods, diapers, baby wipes, or new socks for Bill Wilson Center!