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Request A Glider Ride
To request a glider flight with Freedoms Wings International, please fill out the following information as accurately as possible.
your name?
Enter your name here.
date of birth
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indicate your date of birth
are you disabled?
Disabled
Able bodied
Please indicate if you are disabled, or able bodied
if disabled, please tell us about your disability
To ensure safe flights we need to know the nature of your disability, and any factors that may impact safety.
Please tell us about your disability and any factors that may impact safety.
please indicate all that apply to you
Check each condition that applies to your disability
severe spasticity
mild or controlled spasticity
epilepsy or seizures
heat intolerance
uncontrollable movements
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to get a broader picture of your disability please indicate all that apply, some are information only and will not affect your ability to fly. hold control to select morethen 1
your weight in lbs
because a glider requires wights and balances to be accurately set, we require n accurate and recent weight.
Pounds
Kilograms
to ensure a safe flight we need to know your accurate weight at the time of flight.
your email
please provide a contact emaoil
phone number
please provide a number where you can be reached
human check
check this to let us know you are human, and not a spam bot.