Course Enrolment Form

Name*

First NameLast Name
Company Name
If you would like the invoice made out to a company
Email*
example@example.com
Phone Number*
Please use a Mobile number if possible as we will send some communications via SMS.
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Mailing address for courseware*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
ARN - If you have one
Do you hold an AROC?*
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
Emergency Contact Relationship *
Where did you hear about us?*
Select all the packages you require*

XAG Provided Training PackageComplete Certification (RePL, AROC, & ReOC)Multirotor RePL & AROC Only - 7kgMultirotor RePL & AROC Only - 25kgGrounded Pilot ProgramMultirotor 25kg Upgrade Only (Existing RePL Holders)Fixed Wing 7kg Upgrade Only (Existing RePL Holders)DJI T25 Flight Test Only (Existing RePL Holders)DJI T30 Flight Test Only (Existing RePL Holders)DJI T40 Flight Test Only (Existing RePL HoldersDJI T50 Flight Test Only (Existing RePL HoldersXAG Manufacturers Training - P100XAG Manufacturers Training - P100 ProXAG P100 Flight Test Only (Existing RePL Holders)XAG P100 Pro Flight Test Only (Existing RePL Holders)TopXGun FP600 Flight Test Only (Existing RePL Holders)Part 61 Upgrade to add 7kg MultirotorPart 61 Upgrade to add 25kg MultirotorAROC OnlyRePL RefresherChief Remte Pilot TrainingIntro Into MappingBVLOS OCTA (Self Study)BVLOS OCTA Training (Self Study + 1 Day VC)
Please select your preferred training package*
Please nominate a course date from our schedule.*
Eg: Date & Location
Would you like to purchase an ICOM Airband Radio?*

YesNo
Please detail your drone flying experience.*
In order to meet our obligations under the CASA Part 101 Manual of Standards, Please list your flying experience, including the amount of hours, and size of the drones.
Payment option*
Please select your payment type*
Please add any further notes or instructions
File uploads
If you have selected an Upgrade, or you are Part 61 Licence Holder, please upload your licence here, as we will need it to submit to CASA.

NOTE - DO NOT upload your QR Code. Please take screen shots and attach. Just needs to show your name and ratings.
File Upload

Cancelof
By checking this option I agree to the following; • Your place on the course is not secure until payment in full or your deposit for Train Now and Pay Later has been received unless prior arrangements have been made. • Train Now, Pay Later option - course fees MUST be finalised within 3 months of the completion of the course. • All course fees are non refundable. If you are unable to attend, a reschedule is available. • Address and details of the training venue will be provided in the Student Information Pack. • Training aircraft will be provided (conditions apply).*

I agree
By clicking the above you agree to the following; • I will be participating in flying drones with other individuals, and drones may be flown at a distance closer than 30m to me. I understand that Wide Bay Drones holds all necessary public liability insurances. However, I understand that flying drones does come with certain risks.*

I agree
Please sign the form*

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File uploads