Las Vegas's Premier Flying Club - Giving You A Reason to Fly!
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Please fill out this form ENTIRELY, or your application may be delayed. You must upload certain documents with your application. See
this page
for details.
Member Application - dfc
Personal Info
0
First Name
*
1
Last Name
*
2
youremail@domain.com
*
valid email address
3
Primary Phone
*
With Area Code
4
Date of Birth
*
Date of Birth
5
How did you hear about us?
*
Select
(How Did You Hear of DFC?)
Referred / Referral
Google Search
Yahoo / Bing
AOPA Website
Other Website Referral
Other
6
Person Who Referred You
*
full name
7
Permanent Address
*
Full Address
8
Employer Info
9
Employer Name
*
10
Occupation
*
title / job
11
Employer Address
*
12
Employer Phone
*
13
Membership Options (Choose One)
14
Membership Type
*
Choose One
Student-Pilot Membership (Working toward your first rating)
Pilot Membership (Full rental privileges, no training)
Non-Flying / CFI Member (Attend Social Events, Safety Meetings, and Other Club Outings)
Family Membership (up to 4 pilots in one family - immediate family members only)
CFI-only Membership (No personal rentals, instruction only. Must be approved by board)
15
NOTE:
Each flying member must apply separately. Only one person needs to pay & have a credit card on file.
16
Pilot Information: Please Fill Out Completely (pilots / CFIs only)
17
Total Flying Time:
*
total hours
18
Time Last 6 Months
*
19
Avg Hours / Year
*
20
Certificates Held
*
21
Medical Class:
*
(Choose Medical Class)
Driver's License (sport pilot)
3rd Class
2nd Class
1st Class
Expired
22
Date of Medical
*
23
Date of Last Flight Review
*
24
Projected Hours/Yr
*
25
What type of flying are you interested in? (check all that apply)
26
Have you been (Check all that apply):
27
What Type of Flying Do You Do?
*
Recreational
Business
Learning / Getting a Rating
Instructing (as CFI)
Space Exploration
28
Have you Been (Check All That Apply):
*
In any aircraft accidents or incidents?
Charged with violation of FAA regulations?
In any motor vehicle accidents in the past 3 years?
Issued a moving traffic citation in past 3 years?
Had a DUI in the past 5 years?
29
PIlot Documents
30
Upload: Driver's License, Current Medical + Pilot's Licenses (front & back), AND proof of renter's insurance ($5k minimum hull coverage required):
31
Pilot Documents
*
upload files here
Upload Docs
32
Almost Done! Please Read:
33
Agreement:
*
you like
I understand that the Board of Directions and the membership of Desert Flying Club determine my acceptance in the Club. If I am accepted, I agree to adhere to the procedures, regulations, and by-laws as outlined in the Club's by-laws and operational rules set forth by the Board of Directors. I understand I will be charged a $20 refundable deposit for keycard access after paying my initial dues.
34
Submit >>
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