Wings Social Club Application

Please fill out the following form. After submitting, you will be directed to a page where you can pay for your Social Club Application. Simply, click on the link to purchase and finalize your Social Club Membership.

  • Authorized to be called in the event of emergency. Is also permitted to drop off or pick up member.
  • Authorized to be called in the event of emergency. Is also permitted to drop off or pick up member.
    Wings Social Club utilizes photography and videography for Wings website, social media, and brochures. Please check the box to give Wings permission to use photos or videos of your member.
  • In consideration of the undersigned individual’s participation in the above program and to the extent allowed by law, we hereby consent for said person to participate in the Wings- A Special Needs Community program known as Social Club and hereby release said organization, and all of its officers, employees, paid staff, and volunteers, from any and all liability or any kind of character arising out of said individual’s participation in such program and its activities, or any accident, illness or injury resulting therefrom, and agree to indemnify and hold harmless the organization and its officers, employees, paid staff and volunteers from and against any and all such claims, if any. I/We further consent for any adult leader of said activity to secure emergency medical treatment for the below named individual, which may be considered to be necessary in a situation in accordance with generally accepted standards with medical practices for the particular type of injury or illness involved. This Release and Authority shall be valid and binding for the activity in which said individual participates unless previously revoked in writing.