Lion Launch Flight - Southern NCSY

Full Participant Legal Name*

First Middle Last

As it appears on passport

Date of birth*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Citizenship*

Passport Number*

Passport Expiration Date*

Please upload a picture of your passport*

Max. file size: 512 MB.

Any Dietary Need or Allergies?*

Parent Name

First Last

Please confirm we have your consent to book an airline ticket for your child and travel internationally with your child. In addition, please confirm that all the information shared on this form is correct. Once submitting this form no changes can be made, any cancellations will result in a $500 cancellation fee.*

I Confirm