Registration

The Fly Wisconsin Airport Passport program is open to all pilots and their passenger(s). To complete the registration process, please submit the following information.

The information provided will not be shared, published or otherwise distributed.

*All questions require a response.

Fly Wisconsin Airport Passport Program

	Participant Name

	First*

	Last*

	Mailing Address

	Address*

	City*

	State*

	ZIP Code*

	Email Address Type "None" if unavailable.*

	Telephone Number (Area Code) 123-4567*

	Birth Date mm/dd/yyyy*

	Primary Aircraft (Make/Model)*

Do you participate in another state airport passport program?*

Yes

I am to participate in the Fly WI Airport Passport program primarily as a:*

Pilot

Passenger