Pilot's Fly Day Application

Register Pilots

www.eaa62.org | Register kids for flights | Pilots | Volunteer

Spread the word! We welcome participation of all qualified pilots.

YOUNG EAGLE'S PILOT REQUIREMENTS

Complete eligibility requirements are listed on the EAA Young Eagle's Website. The following is a summary for reference only, and is superceded by the official EAA Young Eagle's Requirements.

All participating pilots must hold an Appropriate Airmen's Certificate (Sport Pilot or greater)
Pilots must possess a current Medical Certificate (if applicable)
Pilots must be current EAA National Members
Pilots must be current to carry passengers in the aircraft they plan to use.
Pilots must have a current Flight Review
Aircraft Passenger Liability Insurance is required for the aircraft used (owned, rental
or borrowed)
The Young Eagles registration form must be completed before the flight including
parent or guardian signature.
The aircraft used for the flight must be in airworthy condition.
Flights must adhere to all applicable Federal Air Rules (FARs).

If you believe that you meet these requirements, please continue online registration.

EAA62 Young Eagle's Pilot's Registration

NOTE: EAA National Membership is required to fly Young Eagles.
Local chapter membership is optional and not required.

If you are not yet an EAA member, or if your membership has expired, please sign up for an EAA membership FIRST, then return to this form when you have an EAA number
http://www.eaa.org

Volunteer Pilot Name:

First name:*rqd
Last name: *rqd

EAA membership

If you are not yet an EAA member, or if your membership has expired, please sign up for an EAA membership FIRST, then return to this form when you have an EAA number
http://www.eaa.org

EAA Chapter Membership or National EAA Membership

EAA Chapter Other:

EAA Membership Number (required)

EAA Young Eagle Number (if known)

EAA Membership Expiration Date

*rqd: Month:	*rqd Day	*rqd Year:

Email:

*rqd

Telephone:

Work Phone: Home Phone:
*at least one is rqd

In which events can you fly?

Check all in which you can commit to flying:

April 10, 2010 - Palo Alto Airport (map)
May 8, 2010 - San Martin South County Airport (map)

If you have flown in a Young Eagle's event with EAA Chapter 62 in the last year, and if nothing has changed in the last year, don't worry about the rest of this form: we'll copy the rest from previous databases.

Nothing has changed since the last time I flew with EAA62. (Click here to skip the rest)
I'm new to EAA62's Young Eagle's rallies, or something has changed in the last year, so I'm filling out the full form below.

Fill out the following only if you are new to EAA62's Young Eagle's events OR if something has changed since the last time you have flown with us.

Street Addr:

City:

State:

Zip:

Fax:

FAA Airman's
Certification Number

BFR Current?
Yes No

Flight Recency (VFR) Current?
Yes No

Total Logged Hours Pilot In-Command (PIC)

hrs

Aircraft Registration Class/Category

*rqd if flying your own aircraft

Aircraft Make/Model

*rqd if flying your own aircraft

Tail Number

*rqd if flying your own aircraft

Available passenger seats:

PLEASE NOTE: All aircraft (including 2-seater aircraft) of any passenger-carrying-certification are most welcome!

Annual Inspection Current?

Yes No
*rqd if flying your own aircraft

Aircraft Registration, Airworthiness Certificate, and Weight & Balance, Pilot's Operation Handbook POH, available in Aircraft?
Yes No
*rqd if flying your own aircraft

Comments. Suggestions? Inspirational Stories? Anything else you would like to tell us?

Due Diligence

All EAA Young Eagle's events are committed to safety, first and foremost. It is essential that every possible step be taken to prevent the unlikely event of an incident and/or injury on the airport grounds or in the air. Each pilot must have a valid pilot’s certificate, current medical, and meet all currency requirements in the Federal Aviation Regulations. All aircraft must be airworthy with all proper maintenance and inspections completed as set forth in the appropriate regulations.

The pilots-in-command are responsible for the safe and legal operation of their aircraft. It is expected that adequate liability insurance is current for each pilot and aircraft.

It is the responsibility of each pilot to exercise extreme care, especially considering that passengers and spectators are involved. Each flight should be conducted under FAR Part 91 rules.

By entering your name below, you certify that all aircrew, medical, aircraft currency, and airworthiness requirements are met for every flight as set forth in the Federal Aviation Regulations, and that all Young Eagle requirements as specified by Experimental Aircraft Association are met.

Your Name Certifying Compliance with above requirements:
*rqd

Note: We may contact you with further due diligence questions once your application has been received.

Please click once. It can be slow.....