Join Us – New Braunfels Flying Club

APPLICANT INFORMATION

Name *

Street Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code *

Email Address *

Phone *

Date of Birth

Social Security Number

Emergency Contact Name

Emergency Phone Contact Number

Employer

Occupation

FLYING HOURS/TOTAL

LAST 6 MONTHS

TIME IN CLUB A/C TYPES

HIGHEST CERTIFICATES HELD

MEDICAL CLASS

MEDICAL DUE:

BASIC FLIGHT REVIEW DUE:

HOW MANY HOURS DO YOU PLAN TO FLY NEXT YEAR?

DATE OF LAST FLIGHT

Charged with violation of FAA regulations?

In any aircraft accidents or incidents?

Issued moving traffic citations in past 3 years?

Upload files *

Please include copies of Driver’s license, current medical and pilot certificate with this application.