Contest Entry Form

PILOT REGISTRATION
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Name *
IAC Number *

Address *

Email *
Phone Number
Cell Number *
Birth Date
U.S. Citizen? *
IAC Chapter
FAI Sporting License
Pilot License *
Type
Pilot License *
Number
Emergency Contact *
Name
Emergency Contact *
Phone Number(s)
Contest
Contest Category *
Only select a Patch Category if you also plan to fly in a different category than your Contest Category for a stars patch.
Patch Category
First Time Competitor
First Time Sportsman
AIRCRAFT
Aircraft Owner *
Phone Number *

Address *

Make/Model *
N Number *
Airworthiness *
Engine Make/Model /Horsepower *
Grass Roots 180hp or less
Insurance *
Company
Insurance *
Type
Insurance *
Amount
Is anyone else flying this plane? *
If yes, whom?
If yes, what category do they fly?
VOLUNTEER
Do you want to volunteer at the contest? *
Are you flying in the contest?
If yes, which category?
Are you a safety pilot for another competitor?
If yes, for whom?
Positions you'd prefer to hold

Judge Assistant Judge Recorder Boundary Judge Runner Starter Computer Room (no competitors) Tech Inspector
Category Preferences

Primary Sportsman Intermediate Advanced Unlimited
Volunteer Notes
Should be Empty:

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