SierraSportFlyers.com Membership Application

Applicant Information

Full Name: Date of Birth: Mailing Address: City, State, ZIP: Phone Number: Email: Emergency Contact Name: Emergency Contact Phone:

Membership Type

Aviation Information (If Applicable)

Pilot Certificate Type: FAA License Number: Aircraft Owned: Do you require hangar storage? Yes No

Member Agreement

By submitting this form, I acknowledge that I understand and agree to abide by the SierraSportFlyers.com rules, safety guidelines, and policies. I recognize the inherent risks of aviation activities and agree to hold Sierra Sport Flyers harmless for any incidents arising from participation.

Signature (Type Full Name): Date: