Dream Flyer Questionnaire

Dream Flyer Questionnaire
How Did you find out about Above the Clouds? (Referring Agency)
Dream Flyer's Full Name
Home Address
Name of Chaperone
Cell phone number of chaperone
Guardian email address
School Name and Address
Date of Birth
Height and weight of Flyer
What jacket size does your child wear?

Youth SmallYouth MediumYouth LargeYouth Extra LargeAdult extra SmallAdult SmallAdult MediumAdult LargeAdult Extra Large
Things Dream Flyer might like to see on his Dream Flight (he can thinkabout this and let the Dream Pilot know on Dream Flight day)
Names/Weights of any others going on the planes (maximum 1 other passenger)... maybe more depending on plane
Does the Dream Flyer or any others in your party have food allergies or allergies to dogs (we use therapy dogs on Dream Flight Days)
We make personalized signs for every Dream Flyer. Tell me a little bit about his/her interests so we might incorporate into the signs
We are looking to serve kids that are struggling with an experience that lifts their spirits and gives them hope. The youth we serve are spending days receiving medical care, or homeless living in shelters or struggling with economic, social and emotional challenges or learning disabilities etc. Our flights bring joy and hope to these kids which gives them a break from their struggles and a different perspective on the possibilities for their lives. Please share a little about your child's story and how you think Above the Clouds will benefit them.
If you have a preferred month you would like to fly with us, let us know! Saturday is the planned Dream Flight Day and Sunday is the "rain date." We ask that you keep both days open due to the unpredictability of the New England weather.

Saturday January 21st / Sunday January 22ndSaturday March 4th/Sunday March 5thSaturday April 8th/Sunday April 9thSaturday May 13th/ Sunday May 14thSaturday June 10th/ Sunday June 11thSaturday July TBA/ Sunday July TBASaturday August TBA/ Sunday TBA
Anything else you think would be helpful in making this a fun dream flight day
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