YOUNG EAGLES REGISTRATION FORM
INSTRUCTIONS:   Print this page.   Complete the upper portion of the form and give it to your volunteer pilot.  Make sure the permission form is completed.  PILOT: Complete the lower portion of this form and return it as soon as possible to the Young Eagles Office, EAA Aviation Foundation, P.O. Box 2683, Oshkosh,  WI 54903-2683.
RETURN TO YOUNG EAGLES PAGE
YOUNG EAGLES REGISTRATION INFORMATION
(PLEASE PRINT (IN BLACK) LIKE THIS: ABCDEFGHIJKLMNOPQRSTUVWXYZ0123456789)

 
NAME OF PARTICIPANT (LAST, FIRST, MIDDLE INITIAL)
 
ADDRESS
         
CITY

ST/PROV.

 ZIP / POSTAL CODE
     
DATE OF BIRTH (MM/DD/YY)

*HAVE YOU EVER PARTICIPATED IN A YOUNG EAGLES FLIGHT BEFORE?  YES OR NO

 TELEPHONE
*NOTE: Prior participation does not prohibit additional flights, but program goals give priority to new participants.  Registration and benefits will occur only once.      

EAGLE FLIGHT PARENT/GUARDIAN PERMISSION FORM
The 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 hold the EAA Aviation Foundation, Inc., Experimental Aircraft Association, Inc., all participants and sponsors harmless for all personal injury which might result from participation in any part of this program.

__________________________________________________________________
Parent/Guardian Signature

 

PILOT INFORMATION
PLEASE PRINT (IN BLACK) LIKE THIS: ABCDEFGHIJKLMNOPQRSTUVWXYZ0123456789

  
YOUNG EAGLES ID # EAA NUMBER
 
NAME (Last, First, Middle Initial)
 
ADDRESS
         
CITY

ST/PROV.

 ZIP/ POSTAL CODE
     
TYPE OF AIRCRAFT FLIGHT DATE: MM-DD-YY
          Y   E
EAA CHAPTER OR AFFILIATE ORG. TELEPHONE

FORM