Flight Training

• Our Flight Training Unit
• Commercial Licence Requirements
• Private Licence Requirements
• Flight Training Information Package
• Potential Student Information Form
• Underwater Egress Training

Potential Student Information Form
Please print this page and send to us by mail or fax.

PERSONAL
Name:	_________________________________
Street Address:	_________________________________
Town/City:	_________________________________
State/Province:	_________________________________
Postal Code:	_________________________________
Country:	_________________________________
Phone:	_________________________________
Email Address:	_________________________________
Date of Birth:	_________________________________
Age:	_________________________________
Citizenship:	_________________________________
REQUESTED COURSE: please specify your requirements.
[ ]	Commercial
[ ]	Private
[ ]	Night Rating
[ ]	Instructor Rating
[ ]	Alternate Commercial
[ ]	Alternate Private
[ ]	Aircraft Type Rating
[ ]	Robinson R22
[ ]	Robinson R44
[ ]	Bell 206B
Other (specify):	_________________________________
STARTING DATE:
[ ]	I would like to secure a spot on the course. Please find enclosed a cheque for the amount of: ________________
[ ]	I do not wish to secure a spot on the course at this time, you will not find a cheque enclosed.

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