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Apply for Membership

Please fill out the form below and we'll get back to you as soon as we can. All membership applications are reviewed by the Rapid Flyers board. A board member will contact you with additional questions. If approved, applicant will be required to sign the Rapid Flyers membership agreement. 

Birthday
Month
Day
Year
Address
Membership Type
Subscription Memeber
Prospective Member
Family Member

If Family Member is selected, provide the Subscription member name associated with the Family member.

Certificates Held
Date Certificate Issued
Month
Day
Year
Ratings Held
Endorsements
Date of Last Flight Review (Date of Checkride if within the last 2 years)
Month
Day
Year
Date of Last Medical
Month
Day
Year
Class of Medical
HAVE YOU EVER HAD A VIOLATION OR ACTION AGAINST YOUR PILOT CERTIFICATE?
Yes
No
HAVE YOU EVER BEEN INVOLVED IN AN ACCIDENT OR INCIDENT INVOLVING AIRCRAFT, REPORTED OR NOT?
Yes
No
HAS YOUR DRIVERS LICENSE EVER BEEN SUSPENDED OR REVOKED?
Yes
No
HAVE YOU EVER BEEN CONVICTED OF ANY CRIME OR ARE YOU UNDER INVESTIGATION FOR ANY CRIME?
Yes
No
HAVE YOU EVER BEEN CONVICTED OF ANY DRUG RELATED ACTIVITIES, INCLUDING DUI?
Yes
No
HAVE YOU HAD ANY ROAD ACCIDENTS IN THE PAST 5-YEARS?
Yes
No
HAVE YOU EVER BEEN DENIED INSURANCE OF ANY KIND?
Yes
No
HAVE YOU EVER FILED AN AVIATION INSURANCE CLAIM?
Yes
No
Have you ever been a member of a flying club?
Yes
No
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