Apply for a Chrysalis Weekend
Flights are for high school sophomores, juniors, and seniors (ages 15-18).
The candidate must fill out the top portion of this application and the sponsor must fill out the bottom portion.
Please DO NOT submit an incomplete application.
If information is left off this application, it will not be accepted. If you do not list your contact information, there's no way for us to confirm this application with you.
If you can't fill out in person together but still wish to submit your application online, contact your candidate to get the information below or Download the Paper Application.
Please notify us immediately if you cannot attend, others on a waiting list may be able to attend if contact soon enough to prepare.