Still Bay Flying Club Membership Application Applicant InformationName Address Contact Number Email DOB Emergency Contact Name Contact Number of Emergency Contact Email address of Emergency Contact Emergency Contact Address Type of Membership Full membership Hanger Employer InformationEmployer Address Contact Number Occupation Pilot InformationFlying Hours / Total Certificates Held Medical Class Please include copies of Driver’s license, current medical and pilot certificate, where applicable, with this application.. Year /Month/ Day I understand that the Committee of the Still Bay Flying Club determine my acceptance in the Club. If I am accepted, I agree to adhere to the procedures and regulations as outlined in the Club’s constitution, by-laws, membership rules and decisions set forth by the Committee. And agree to sign the attached indemnity form Send
