Registration Forms – Fly Duluth

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Name *

Phone *

Email *

Emergency Contact Name *

First

Last

Emergency Contact Phone *

Date of Birth *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Interested in discounted prices? Become a platinum member today!

Platinum Membership - $500

Aircraft Rental Agreement
By signing I am stating that I have read and agree to the Aircraft Rental Agreement and its Appendices

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Name *

Date *

Signature for Aircraft Rental Agreement *

Are you above the age of 18? *

Yes
No

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Guardian Signature

Pilot Certificate

Click or drag a file to this area to upload.

FAA Medical

Click or drag a file to this area to upload.

TSA Citizen Verification

Click or drag files to this area to upload. You can upload up to 2 files.

Required if receiving training toward an FAA License. Current Passport or a current government issue I.D. with a Birth Certificate. Original Documents must be verified in person.

Any comments or questions?

Totals

Sub-Total      $500.00
Sales Tax      $44.38
DAA Fee        $12.50

Total          $556.88