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Youth Membership App
Shane Eller
2022-03-22T11:03:59-04:00
Become a Member
Youth Membership Application
Our members come from all over the mid-west to enjoy the hobby of soaring.
Contanct Info
First name
*
Last name
Address
*
City
*
State
Option
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (AA)
Armed Forces (AE)
Armed Forces (AP)
Zip
*
Email address
*
Phone Number
*
Emergency Contact Info
Emergency Contact Name
*
Emergency Contact Relationship
Emergency Contact Phone (home)
Emergency Contact Phone (cell)
Emergency Contact Email
Pilot Currency Info
Glider Rating
None
Student
Private
Commercial
CFI
Single Engine
None
Student
Private
Instrument
Commercial
CFI
Multi Engine
None
Student
Private
Instrument
Commercial
CFI
FAA Medical
None
BasicMed
Third Class
Second Class
First Class
Current SSA Member?
*
No
Yes
Aircraft Renters Insurance?
No
Yes
×
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