Morning View Aviation Membership Application

CERTIFICATES: (leave blank if you are applying as a student pilot)

RATINGS

ENDORSEMENTS

Recent Experience

STATEMENTS OF VIOLATIONS & ACCIDENTS (please check as applicable)*

	YES/NO
1. HAVE YOU EVER HAD A VIOLATION OR ACTION AGAINST YOUR PILOT CERTIFICATE?
2. HAVE YOU EVER BEEN INVOLVED IN AN ACCIDENT OR INCIDENT INVOLVING AIRCRAFT, REPORTED OR NOT?
3. HAVE YOU EVER BEEN CONVICTED OF ANY CRIME OR ARE YOU UNDER INVESTIGATION FOR ANY CRIME?
4. HAS YOUR DRIVERS LICENSE EVER BEEN SUSPENDED OR REVOKED?
5. HAVE YOU EVER BEEN CONVICTED OF ANY DRUG RELATED ACTIVITIES, INCLUDING DUI?
6. HAVE YOU HAD ANY ROAD ACCIDENTS IN THE PAST 5 YEARS?
7. HAVE YOU EVEN BEEN DENIED INSURANCE OF ANY KIND?
8. HAVE YOU EVER FILED AN AVIATION INSURANCE CLAIM?

If you answered YES to any of the above Statements of Violations and Accidents, please provide a detailed explanation here:
PLEASE PROVIDE QUESTION # and APPLICABLE DETAIL:

ACKNOWLEDGEMENT*

	INITIALS
ACKNOWLEDGMENT I HAVE READ AND UNDERSTAND THE BYLAWS AND OPERATING RULES (link below). I AGREE TO ABIDE BY ALL RULES, REGULATIONS AND PROCEDURES OF THE CLUB, THE FAA AND ALL OTHER AGENCIES. I AGREE TO SIGN AND ABIDE BY THE WAIVER AND RELEASE AGREEMENT.
I AGREE THAT I WILL NOT USE CLUB AIRCRAFT FOR ANY COMMERCIAL, BUSINESS, OR ILLEGAL ACTIVITIES.
I AGREE TO PAY ALL ASSESSED DUES AND FEES AS REQUIRED BY THE CLUB BYLAWS AND OTHER RULES AND REFULATIONS AND UNDERSTAND THAT FAILURE TO DO SO WILL RESULT IN LOSS OF CLUB PRIVILAGES AND POTENTIAL TERMINATION OF MEMBERSHIP.
I UNDERSTAND THAT I MAY TERMINATE MY MEMBERSHIP IN THE CLUB BY GIVING THIRTY DAYS NOTICE TO THE CLUB PRESIDENT.
I UNDERSTAND THAT IF I AM FOUND LIABLE FOR DAMAGES TO CLUB AIRCRAFT OR EQUIPMENT DUE TO NEGLIGENCE, I WILL BE HELD RESPONSIBLE FOR THE INSURANCE DEDUCTIBLE AND OTHER COSTS ASSOCIATED WITH THE CLAIM RESULTING FROM THAT DAMAGE.

PREVIOUS FLYING CLUB EXPERIENCE*

	YES/NO
HAVE YOU EVER BEEN A MEMBER OF A FLYING CLUB?

My Products

Member Application Fee(includes 1 hour Introductory Flight, no charge if you've completed your Introductory Flight)

$150.00 Quantity

Total

$0.00

SIGNATURE OF ACKNOWLEDGEMENT AND ACCEPTANCE: