Capital City Young Aviators Forms – Manage Documents for CCYA

Thank You for Your Interest in CCYA!

All participants, along with their parent or guardian must sign and return our waivers and policies document.

To get started, please complete the form below.

* For questions, please email admin@ccyayoungaviators.org.

Participant Name(Required)

Referring Organization/School:(Required)

Age (12 – 18):(Required)

Participant Date of Birth(Required)

Grade for 2025-26 School Year:(Required)

Participant Address:(Required)

Street Address Address Line 2 City State ZIP Code

Participant Email:

Insurance Provider:(Required)

Insurance Policy Number:(Required)

Participant Tshirt Size:(Required)

Parent/Guardian Name:(Required)

Parent/Guardian Address:(Required)

Same as participant

Street Address Address Line 2 City State ZIP Code

Parent/Guardian Email:(Required)

Parent/Guardian Phone:(Required)

Emergency Contact Name (different from guardian):(Required)

Emergency Contact Phone:(Required)

Would parent/guardian/caregiver be interested in attending and helping out at our sessions?(Required)

YES!

No Thanks

Waiver Request