Challenge Air Agency Registration

Agency Registration
Please join us for the memorable day celebrating kids with special needs. Your participation makes a meaningful impact!

Please note, we will provide you with one table and two chairs inside the event hangar- in the shade and out of the sun. Electricity will also be provided if selected below.

Fill out the form below and tap "submit".
Agency Name*
Nonprofit organizations are welcome to participate at no charge.

If you are a for-profit business or organization, we kindly request a $500 sponsorship/donation to support this event.
Key Contact*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Website URL
Website
Will you need electricity?
Select Event(s) or "General" below*
Comments:
Can we count on your support?*

YesNo, thanks!
Thank you! Your participation impacts someone special.
Should be Empty: