
ULTRALIGHT PILOT REGISTRATION FORM
A minimum of 10 hours total instruction, 3 hours supervised solo, 25 takeoffs and landings.
If you hold an FAA pilot certificate:_______________________________________ _____________________ ____________________
Applicants Name (printed) Phone Day Phone Evening
_______________________________________ _________________________________________
Address Date of Birth (mm/dd/yr)
_______________________________________ _________________________________________
City, State Zip ASC Membership # or FAA Certificate #
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* Written test not required for holders of an FAA pilot certificate or an EAA, USUA, USHGA pilot registration. Attach copy of certificate or registration when returning application. |
_______________________________________ _________________________________________
Instructor’s Name (printed) Phone Day Phone Evening
_______________________________________ _________________________________________
Address Organization and Number
_______________________________________ _________________________________________
City, State Zip Instructor’s Signature ** Date
** ASC accepts instructor endorsements from EAA, and USUA ultralight instructors.
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Aero Sports Connection PO Box 589 Marshall, MI 49068
Phone: 269-781-4021 Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it