These children are the authors of their own lives and destiny, and they will live with what they themselves create. But today, we are going to help open a new chapter in their life by giving each of them a special memory. It's memories like these that no one can take away from them or us. It's a Dream Come True.......
Full Name :*
Email:*(Flight details for Dreams will be sent via this email)
Name of child you are escorting*
Home Phone No.:*
Medical Number: Reg.#:*
Personal Health ID No.:*
Relationship to you:*
T-SHIRT SIZE (Circle one): Adult SmallAdult MediumAdult LargeAdult Plus 1 2 3 or Other
Special Dietary Requirements: Please specify any dietary requirements you may have (i.e. Diabetic / allergies)
Medication: Please list ALL medication that you are currently taking. Indicate the dosage (amount and time) required during the trip.
Medication Name:* Add
Amount of dosage:* Add
Do you have any medical condition of which we and our medical doctors on the flight should be aware?
Passport (Attach photocopy) * application will not be accepted until valid passport copy is provided. No exceptions!
”Child Abuse Registry” check (attach copies of appropriate copies of I.D.)
Signed Canada & US Customs Cards
I agree to take responsibility for the care of the child I am escorting and am capable of attending to the child's needs during the entire trip. Dreams Take Flight Volunteers are not trained to address personal medical issues. I also agree to accompany the child on rides in the Magic Kingdom and to assist the group leader with the activities of the day. I acknowledge this is a non-smoking day. Special permission has been granted to allow Dreams Take Flight to purchase souvenirs for the children; however, adults are not allowed to make purchases. Dreams Take Flight is dedicated to provide a wonderful fun-filled day for the children; it's their magical day!!
I agree to these requirements*
Enter the Code Shown:*
(*) Fields are Mandatory