Take Flight for Kids
Take Flight
                        for Kids
        A Valley Medical Center Foundation Project
        Saturday, October 15, 2011
        Reid Hillview Airport, San Jose, CA


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As you can imagine, Take Flight for Kids is an incredibly expensive event.  But we are changing lives of kids, so it's worth every penny.  If you can help, please donate online.  $10 sponsors a familiy for free lunch.  Every dollar helps!  Thanks! Note: All donations are 100% tax deductible thru the Valley Medical Center Foundation

Other Fun Stuff
Day in the Sky, Watsonville

RSVP for FREE ADMISSION!
San Jose Reid Hillview Airport, San Jose, California
200+ Nonprofit Groups hosting
Tons of Fun Math/Science Stuff to Do

Festival admission is FREE for everybody who signs up online.

NOTE: Please bring a canned good, diapers and wipes, and new socks for Bill Wilson Center 
Serving 10,000 people per year, with an emphasis on youth, Bill Wilson Center programs focus on building self-confidence and developing personal assets. With these tools, youth can permanently change the direction of their lives.  http://www.billwilsoncenter.org/
Welcome to the third annual San Jose Take Flight for Kids, San Jose 2011, a production of Valley Medical Center Foundation of Santa Clara County, California.

Note due to insurance hassles there will be NO free free flights this year.  But the festival is a kick anyway!

Questions?  Contact Dean McCully, Take Flight for Kids,
takeflightforkids@regathon.com

RSVP for the Free Festival.  All fields must be entered:
Attendee Name:
First:*  
Last:*
Phone:
Daytime:*  Evening:*
    You must enter at least 1 telephone number.
Don't forget your area code.

Email:
 *
Required so we can send you confirmation information.
Street Addr:
 *
City:
 *    
State:
*    Zip: * 
Age:
 
Do any of the attendees require assistive devices like wheelchairs, canes, walkers, etc?
No assistive device required.
Yes, requires assistive device like wheelchair, cane, walker, etc.

If applicable, please briefly describe the type of assistive device required.
Eg: wheelchair, cane, walker, etc.
 

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?   
                           Other:
Which school would you like to credit with your attendance?
Schools with the top attendance win a prize.
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!


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