Blake's Baby Registration Form

Organized by EAA junior member Blake Barr, Blake's Baby is a pedal plane currently under assembly by EAA Chapter 421. The goal of Blake's Baby is to help develop essential skills in teamwork and engineering needed for constructing future experimental aircrafts. The project is a great learning environment for those who wish to enhance their hands-on mechanical skills!

Please fill out the registration form below if you wish to take part. Not every question is mandatory to answer.

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Email *
First Name *
Last Name *
Middle Initial (optional)
Preferred Name (optional)
Date of Birth *
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DD
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Primary Phone # *
Type of Phone *
Are you able to receive text messages? *
Are you a registered member of the EAA? (It's okay if you are not, you can still take part in the project!) *
Primary Emergency Contact Person's Name *
Emergency Contact Person's Relationship
 *
Emergency Contact Person's Phone #
 *
Emergency Contact Person's Address
 *
Emergency Contact Person's E-Mail Address
 *
Tell us about yourself! (optional)
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