Request a Flight or Information




Request type

INSTRUCTIONS - Please read carefully: this form is the fastest way to get your request to all the groups which may be able to help you.

Choose one of the following options to obtain a list of volunteer pilot groups serving your area or your flight route. Then continue filling out the form that appears below. NOTE: When you submit the completed form a list of groups will appear and also be sent to you in an email. Your information will also be sent to you via email and will be sent to any groups you select so they can contact you about your inquiry. Do not include any information you wish to remain private:

* indicates that field is required

 Patients & Medical Transport: Choose if you are a patient, family member, social worker, hospital staff member, or other person needing some type of patient or medical transportation.

 Other Missions: Choose if you need the services of groups flying disaster and emergency relief missions, environmental support flights, animal transport, educational flights, or other missions of community service using aviation.

 Pilots & Volunteers: Choose if you are a pilot or other person interested in volunteering for one or more groups serving your area. This is for pilots, medical personnel, amateur radio operators, emergency service workers, airport business owners, helpers, and other contributors.

 General Info: Choose if you seek general information about all groups serving your own area. This is for anyone interested in charitable flying, including members of the media.

 Other: Choose if you seek information for any other reason.




Non-medical request

What type of transportation best describes your needs:

 Disaster & Emergency relief

 Environmental support


Patient request

What type of transportation best describes your needs:

 Ambulatory patient - able to sit in an airplane seat and not require professional medical care while flying

 Non-ambulatory patient - needs to travel on a stretcher or have professional medical care while flying

 Blood, tissue, organs, personnel, or other medical missions not involving patient transport


Requester

 Requesting assistance for myself

 Requesting assistance for someone else


 


Contact information



















Volunteer interest

 Patient/Medical Transport

 Environmental support

 Emergency Service, Disaster Relief and other Community missions

 Animal Transportation

 Youth Education

 PBF Organization Support

 An active pilot

 A student pilot

 Non-pilot


General interest

 Patient/Medical Transport

 Environmental support

 Emergency Service, Disaster Relief and other Community missions

 Animal Transportation

 Youth Education

 PBF Organization Support

 Press or media

 Health care agency or service organization

 Non-profit organization

 Other


Travel information

Departing From:


Traveling to:




 One Way  Round-Trip





characters remaining remaining


Travel information

Area of coverage location:







characters remaining remaining


Referral


If other, please specify:


 Yes   No

We will not share your email address without your consent; please refer to our privacy policy for details.