Pilot Registration

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ASC, PO Box 589, Marshall, MI 49068 phone 269-781-4021 fax 269-781-7400 email kimojim@aol.com

ULTRALIGHT PILOT REGISTRATION FORM

ULTRALIGHT PILOT REQUIREMENTS:

A minimum of 10 hours total instruction, 3 hours supervised solo, 25 takeoffs and landings.

If you hold an FAA pilot certificate:

A minimum of 1 hour flight instruction and an Instructor endorsement from an ASC, EAA or USUA ultralight instructor.

Must be 16 years old to solo.

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Applicants Name (printed) Phone Day Phone Evening

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Address Date of Birth (mm/dd/yr)

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City, State Zip ASC Membership # or FAA Certificate #

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To be filled out completely by Instructor:

Written test passed* ______, Oral test passed _______, Flight test passed _______,

I have examined the applicant and recommend that the applicant be registered as an ultralight pilot.

* 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.

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Instructor’s Name (printed) Phone Day Phone Evening

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Address Organization and Number

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City, State Zip Instructor’s Signature ** Date

** ASC accepts instructor endorsements from EAA, and USUA ultralight instructors.

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Registration fee to send with this form: $25.00

RETURN FORM TO: Aero Sports Connection PO Box 589 Marshall, MI 49068

Phone: 269-781-4021 Email: info@aerosports.org