Last Name           First Name           Email      

Phone (optional)

City:      State :      ZIP:

High School Name         How many children do you have in high school? 

What Grade Level (s)?   Freshman        Sophmore         Junior     Senior

Approximately how many students are in your child's high school? 
 

Are you willing to help organize an aviation club in your child's high school?  Yes No Not Sure

Is your child interested in aviation as a career, hobby or both?  Career Hobby Both

 What is your interest in aviation?

How can we help you?