Wings For Autism: November 8, 2025 Boston Logan International Airport

Event Registration: Wings For Autism

November 8, 2025: Boston Logan International Airport
INSTRUCTIONS

Please read carefully before completing form!

1. Please provide the total number of people from your family attending the event. Be sure to include yourself in the total!

2. Proceed to registration. Please register the primary contact for your group FIRST, as Attendee #1. This should be the person who you want us to contact with event details and reach out to if we have any questions.
REGISTRATION

The maximum number of registrations is 6 people. If you have additional registrations, please contact wingsforautism@charlesrivercenter.org
How many attendees are you registering?*
Attendee #1/Primary Contact
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Gender*
Does this attendee have a disability?*

YesNo
Diagnosis of child/adult with disability

AutismAsperger SyndromePDD-NOSOther
T-shirt size of child/adult with disability
Relationship to child/adult with disability

This is the child/adult with a disailityParentSiblingOther
Attendee #2
Name*

First NameLast Name
Is address the same as Attendee #1/Primary Contact?

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Gender*
Does this attendee have a disability?*

YesNo
Diagnosis of child/adult with disability

AutismAsperger SyndromePDD-NOSOther
T-shirt size of child/adult with disability
Relationship to child/adult with disability

This is the child/adult with a disabilityParentSiblingOther
Attendee #3
Name*

First NameLast Name
Is address the same as Attendee #1/Primary Contact?

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Gender*
Does this attendee have a disability?

YesNo
Diagnosis of child/adult with disability

AutismAsperger SyndromePDD-NOSOther
T-shirt size of child/adult with disability
Relationship to child/adult with disability

This is the child/adult with a disabilityParentSiblingOther
Attendee #4
Name*

First NameLast Name
Is address the same as Attendee #1/Primary Contact?

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Gender*
Does this attendee have a disability?

YesNo
Diagnosis of child/adult with disability

AutismAsperger SyndromePDD-NOSOther
T-shirt size of child/adult with disability
Relationship to child/adult with disability

This is the child/adult with a disabilityParentSiblingOther
Attendee #5
Name*

First NameLast Name
Is address the same as Attendee #1/Primary Contact?

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Gender*
Does this attendee have a disability?

YesNo
Diagnosis of child/adult with disability

AutismAsperger SyndromePDD-NOSOther
T-shirt size of child/adult with disability
Relationship to child/adult with disability

This is a child/adult with a disabilityParentSiblingOther
Attendee #6
Name*

First NameLast Name
Is address the same as Attendee #1/Primary Contact?

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Gender*
Does this attendee have a disability?

YesNo
Diagnosis of child/adult with disability

AutismAsperger SyndromePDD-NOSOther
T-shirt size of child/adult with disability
Relationship to child/adult with disability

This is a child/adult with a disabilityParentSiblingOther
PERMISSION TO ALLOW PHOTO/VIDEO/AUDIO PUBLISHED*

YesNo
Although access to Wings for Autism is restricted to registered participants, it occurs in a public venue with hundreds of families and volunteers taking photos and videos of their loved ones participating in the event. While every attempt will be made to ensure a family’s privacy, it cannot be guaranteed. Please take this into consideration when deciding whether to participate in the event.
Please complete*

I have read and acknowledge the above statement.
Should be Empty:

Event Registration: Wings For Autism

INSTRUCTIONS

REGISTRATION

Attendee #1/Primary Contact

Attendee #2

Attendee #3

Attendee #4

Attendee #5

Attendee #6