YOUNG EAGLES REGISTRATION FORM
INSTRUCTIONS: Complete this form and give it to your volunteer pilot.
Make sure the permission form is completed, and signed.
PLEASE PRINT (IN INK) LIKE THIS: A B C D E F 1 2 3 4 5 6
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
NAME OF PARTICIPANT ( LAST, FIRST, MIDDLE INITIAL )
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
ADDRESS
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
CITY
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
STATE/PROVINCE
__ __ __ __ __-__ __ __ __
ZIP/POSTAL CODE
__ __/__ __/__ __
DATE OF BIRTH (MONTH/DAY/YEAR)
(__ __ __)__ __ __-__ __ __ __
TELEPHONE
*Have you participated in a Young Eagles Flight before? YES____NO____
* NOTE: Prior participation does not prohibit additional flights,
but program goals give priority to new participants.
Registration and benefits will occur only once.
EAGLE FLIGHT PARENT/GUARDIAN PERMISSION FORM
The Eagle Flight candidate named above wishes to participate
in the EAA Young Eagles Program, which includes a demonstration
flight. I certify that I am the childs legal guardian,
and give him/her permission to participate in this program.
I also agree to hold the EAA Aviation Foundation, Inc.,
Experimental Aircraft Association, Inc.,
all participants and sponsors harmless for all personal
injury which might result from participation in any part of
this program.
_____________________________________________________________________________
Parent/Guardian Signature
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