Application

New Pilot Application

For rated pilots only:
Category and Class Of Ratings (as printed on your certificate)
If CFI, Expiration Date:


Have you ever had an occurrence, incident, or accident while operating an aircraft?

List aircraft you have flown and approximate number of hours in each

I agree to pay the deductible part of the insurance coverage on any aircraft dispatched to me belonging to Hayward Flight in the case of an incident of accident, whether in the air or on the ground. ($2,500 moving or non‐moving).

I have read, understand and agree to insurance clause I have read and understand the conditions of the rental contract and agree to comply with the rules, regulations, and by‐laws set forth by Hayward Flight and the FAA.



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