Mile High EAA Chapter 43

Broomfield / Erie, CO

Young Eagles Request

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*Parent First Name
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*Parent Last Name
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*Parent E-mail Address
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*Reenter E-mail Address
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*Parent best phone # to be reached at (xxx)xxx-xxxx:
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*Child 1 First Name
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*Child 1 Last Name
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*Child 1 Age
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Child 2 First Name
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Child 2 Last Name
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Child 2 Age
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*Has your child participated in 2019?
No
Yes
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Due to the limited number of slots available, we need to give preference to kids that have not experienced a Young Eagles ride.

Please mark ‘Yes’ if you have participated before during this year. Your name will be added to a reserve list. If the rally does not fill up with new participants, you will be able to take another Young Eagles ride. More information will be provided via email after you have registered.

We can only provide a limited number of Young Eagles rides per rally. We hope you understand we are trying to provide this limited opportunity to as many kids as possible.
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*Upcoming Events: Please select one of these open for enrollment event dates to REQUEST a spot for your child(ren).
April 18, 2020
May 16, 2020
June 20, 2020
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How did you hear about Young Eagles:
Friend
Airshow Advertisement
EAA National Website
EAA 43 Website
Family
Young Aviator member
Shades of Blue
Adventurers
Teacher
Young Marines
Scouts
Other
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Other - If you checked "other," please tell us where you heard about Young Eagles...
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