(Form 1 of 3) YOUNG EAGLES REGISTRATION FORM

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Agatha Clarke
5 years ago
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1 (Form 1 of 3) YOUNG EAGLES REGISTRATION FORM INSTRUCTIONS: Complete this form and give it to your volunteer pilot. Make sure the permission form is completed. PILOT: Complete separate form and return it as soon as possible to the Young Eagles Office. PLEASE PRINT (IN BLACK) LIKE THIS: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z USE ONLY ONE BOX PER LETTER, SPACE OR PUNCTUATION. Name of Participant (Last, First, Middle Initial) Address City State Zip/Postal Code Date of Birth (Mo/Day/Year) Telephone Have You Ever Participated In A Young Eagles Flight Before? Yes or No *NOTE: Prior participation does not prohibit additional flights, but program goals give priority to new participants. Registration and benefits will occur only once. YOUNG EAGLE FLIGHT PARENT/GUARDIAN PERMISSION & RELEASE FORM The Young Eagle Flight candidate named above wishes to participate in the EAA Young Eagles Program, which includes a demonstration flight. I certify that I am the child s legal guardian, and I give him/her permission to participate in this program. I also agree to voluntarily release, waive, and relinquish any and all claims I or my child may have against the Experimental Aircraft Association, Inc., the EAA Aviation Foundation, Inc., and all participants and sponsors for any and all claims which may result from participation in any part of this program. I further agree to hold harmless the aforementioned individuals and entities for any and all claims which may result from participation in any part of this program. Parent/Guardian Signature

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3 (Form 2 of 3) PARENT/GUARDIAN CONSENT FORM AND HOLD HARMLESS AGREEMENT FOR BSA AVIATION LAKELAND, FLORIDA I certify that I am the parent or legal guardian of the participant listed below and I give my consent for him/her to participate in the flight/flights listed below. I understand that participation in aviation flight activities involves a certain degree of risk that could result in injury or death. I have carefully considered all of the risks involved and am voluntarily entering and assuming, on behalf of the participant listed below, all of the risks involved in those aviation activities. In consideration of FlightSafety International Inc. s, Boy Scouts of America Inc. s and the Central Florida Council, BSA (this is your local council), participation in the flight/flights listed below, I agree to waive and release and, at my own cost and expense, to hold FlightSafety International Inc., the Boy Scouts of America, Inc., and the Central Florida Council, BSA, their respective officers, directors, agents and employees harmless from and against any and all claims, losses, liabilities, damages and expenses (including reasonable legal fees and expenses) which may be charged to or recoverable from FlightSafety International Inc., the Boy Scouts of America, Inc., or the Central Florida Council, BSA, their respective officers, directors, agents and employees on account of injury or death of any person or persons or damage to or destruction of any property arising out or resulting from the participation of the participant listed below in the flying program. Date(s) of flight(s) JAN For Aviation Explorer Post Fly-Along Plan ONLY, enter dates for period that all flights will be covered. (Cannot exceed 12 months. Example: Jan. 1, 2004, through Jan. 1, 2005.) Start date / / End date / / Name of Cub Scout, Boy Scout, or Explorer Parent/Guardian Signature Parent/Guardian Signature (If two parents/guardians, both need to sign) NOTE: PARENT/GUARDIAN PLEASE SIGN. DATE & RETURN TO TROOP BY THE FIRST TROOP MEETING IN JANUARY 2004.

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5 (Form 3 of 3) PARENT/GUARDIAN CONSENT FORM FOR BSA AVIATION LAKELAND, FLORIDA I certify that I am the parent or legal guardian of the participant listed below, and I give my consent for him/her to participate in flight/flights listed. I understand that participation in aviation activities involves a certain degree of risk that could result in injury or death. I have carefully considered the risk involved and agree to hold the Boy Scouts of America, Inc., the Central Florida Council, BSA (this is your local council), their agents and employees harmless for all personal injury which could result from participation in this flying program. Date(s) of flight(s) JAN 23-25, 2004 For Aviation Explorer Post Fly-Along Plan ONLY, enter dates for period that all flights will be covered. (Cannot exceed 12 months. Example: Jan. 1, 2004, through Jan. 1, 2005.) Start date / / End date / / Name of Cub Scout, Boy Scout, or Explorer Parent/Guardian Signature Parent/Guardian Signature (If two parents/guardians, both need to sign) NOTE: PARENT/GUARDIAN PLEASE SIGN. DATE & RETURN TO TROOP BY THE FIRST TROOP MEETING IN JANUARY 2004.

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C. AILERONS: ifhese help turn the airplane right or left

- C. AILERONS: ifhese help turn the airplane right or left back of the alrrlane. helqs the alrqlane's nose move left or right H. ELEVATORS: ifhese help the airplane's nose move UQon down your flight Youmay