JAC Application

About You
Name*

First NameLast Name
Known As
Date of Birth*

DayMonthYear
Date
Gender*
What is your ethnic group?*
Aerobility uses this data to help develop its services, ensuring they are as accessible as possible to as many people as possible
Parent / Carer Name*
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Contact Number*
Email*
example@example.com
About Your Disability
Please tell us about your disability and very generally how it affects you*
How might your disability affect your learning and participation on this course?*
Do you have any particular support needs?*
Medical Declaration

This course will involve some flying. Please provide the information below that will help Aerobility's Instructors and staff to assess your needs. To evaluate your suitability to this program we do ask for a declaration that you are fit to fly. If you are unsure, please contact Hailey Crumpton or Aerobility Front Desk for further information.
The course will involve some flying. If you are successful in this application we will send you a further form including a declaration that you are fit to fly. However, the weight limit for flyers in our aircraft is 17 stones (238lbs or 108kg). Flyers also need to be between 5ft (152cm) and 6ft 4ins (193 cm) tall. Please confirm that you are within these limits.*

I confirm that I meet the above height and weight limits
About This Course
Are you interested in aviation and why? *
Have you flown in a light aircraft before and, if so, what was it like? *
What do you hope to gain from this course? *
Have you previously been involved with Aerobility and, if so, how?*
Do you have a preference for course location and dates?*
Quick Fire Questions
What's your favourite aircraft? *
Have you ever been to an airshow?*
Are you a wheelchair user?*
Do you use a manual or electric wheelchair?*
Do you think that you'll need to be hoisted into the aircraft?*
How did you hear about the course?*
GDPR
For operational reasons we need to store your details to process your application. Please select yes to consent to our storing your details. We promise to protect your data and we will only contact you in relation to your course.*

Yes
We promise that your details will only be used as you wish and in line with data protection law. We will never share your details with another organisation or contact you in a way you have not agreed to. However, we would like to send you communications from time to time about our organisation. If that would be ok, please tick if you are happy for us to contact you by:

EmailTelephoneSMSPost
If you don't want to hear from us, or change your mind about how we contact you, please email frontdesk@aerobility.com or call 0303 303 1230. For more information on how we manage your data, please see our privacy policy.
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About You

About Your Disability

Medical Declaration

About This Course

Quick Fire Questions

GDPR