Booking Form Flyschool.co.uk

BMAA Training Course.....

Name:____________________________ Occupation:_________________________

Address:_____________________________________Town:___________________________________

Post code:___________ County:___________   Telephone:_______________ Mobile :_____________

E-mail:__________________________________Web site:____________________________

Male: r Female: r  Age:___________Marital status:____________ Height:_______Weight:______

Medical Problems, if any? Medications in current use:________________________________

Next of kin (Emergency contact number)

Name:___________________________________Relationship:________________________________

Address:____________________________________________________________________________

Post code:_________County:______________Telephone:________________Mobile:_______________

Flying details

Number of Flying hrs: (approx)______________________ When Started Flying:____________________

Engine / Wing Types Flown:______________________________________________________________

Competitions Entered / Results etc:________________________________________________________

Licences Held? Current, Past and Present if any and Details: ___________________________

Date of expiry:_________ First Aid Certificates? yes r   Experience:___________________________

Other flying disciplines, type and number of hours experience:__________________________________

Course Selection:

r £150 Introduction day   r £1250 Full Course  r £500 PG to PPG   r £850 Microlight to PPG  

r £400 Tandem Training r £250 Refresher

Insurance through ONRisk covering initial training is £83.00 r

Annual Cover their after is £64.00 r

Signature:________________________________________________

Date:______________

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