Introduction Flight Registration Form

New Member Information

Welcome! Please fill out this form carefully for registration. Once you submit your information we will be able to schedule you for an introduction flight. This submission should take just a few minutes.
Member Name*

First NameMiddle NameLast Name (Suffix)
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Member E-mail*
Mobile Number*
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Mobile PhoneWork PhoneEmail
Emergency Contact Info
Name:*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship:*
Email
example@example.com
Preferred Flight Day

An introduction flight typically takes one hour of flight plus 30 minutes on the ground with an instructor. Please tell us more about your schedule and we will get you booked for an intro flight!
MondayTuesdayWednesdayThursdayFridaySaturdaySundayNo Preference
MorningAfternoonEveningNo Preference
Additional Comments
Should be Empty:

New Member Information