Take Flight for Kids

PILOT's APPLICATION
Reid Hillview Airport (RHV), San Jose, California
Saturday August 8, 2009, 9am-5pm
A Special EAA Young Eagle's Day for Young People with Special Needs

Welcome to the second annual Northern California Take Flight for Kids, San Jose Reid Hillview 2009, a production of Valley Medical Center of Santa Clara County California,and Experimental Aircraft Assocation (EAA) Chapter 62 of San Jose, California. We have an awesome day planned including a fabulous ground festival and free flights for up to 150 young people with special needs, their families, and friends.

To apply to fly for Take Flight for Kids, please fill out and submit this online application form. We'll send you more info a few days before the event.

Questions? Contact Dean McCully, Take Flight for Kids, dean@takeflightforkids.com 209-614-4650

Spread the word! We welcome participation of other pilots, volunteers, vendors, donors, and participants!

Minimum requirements for pilot registration are Young Eagle's requirements. That's it. If you are qualified to fly Young Eagle's flights, you're good to fly Take Flight for Kids.

All Take Flight for Kids events are committed to safety, first and foremost. Take Flight for Kids San Jose is an EAA Young Eagles event and all flight operations will be run under EAA Young Eagles' rules. It is essential that every possible step be taken to prevent the unlikely event of an incident and/or injury on the airport grounds or in the air. Each pilot must have a valid pilot’s certificate, current medical, and meet all currency requirements in the Federal Aviation Regulations. All aircraft must be airworthy with all proper maintenance and inspections completed as set forth in the appropriate regulations. The pilots-in-command are responsible for the safe and legal operation of their aircraft. It is expected that adequate liability insurance is current for each pilot and aircraft.

It is the responsibility of each pilot to exercise extreme care, especially considering that passengers, including passengers with special needs, and spectators are involved. Each flight should be conducted under FAR Part 91 rules.

YOUNG EAGLE'S PILOT REQUIREMENTS:.

Complete eligibility requirements are listed on the EAA Young Eagle's Website. The following is a summary for reference only, and is superceded by the official EAA Young Eagle's Requirements.

All participating pilots must hold an Appropriate Airmen's Certificate (Sport Pilot or greater)
Pilots must possess a current Medical Certificate (if applicable)
Pilots must be current EAA National Members
Pilots must be current to carry passengers in the aircraft the plan to use.
Pilots must have a current Flight Review
Aircraft Passenger Liability Insurance is required for the aircraft used (owned, rental
or borrowed)
The Young Eagles registration form must be completed before the flight including
parent or guardian signature.
The aircraft used for the flight must be in airworthy condition.
Flights must adhere to all applicable Federal Air Rules (FARs).

If you believe that you meet these requirements, please continue online registration.

PREFERRED FLIGHT ROUTES AND ALTITUDES

Routes are TBD and will be distributed the morning of August 8, 2009

As always, altitude and route selection for Young Eagles flights are subject to the discretion of the pilot-in-command of each flight. EAA recommends limiting flights to 30 minutes, particularly during busy Young Eagles Rally events!

Take Flight for Kids Pilot's Registration

Volunteer Pilot Name:	First name:rqd Last name: rqd
Street Addr:	*rqd
City:	*rqd
State:	rqd Zip: rqd
Email:	*rqd
Telephone:	Work Phone: Home Phone: *at least one is rqd
Fax:
FAA Airman's Certification Number	*rqd
BFR Current? Yes No *rqd if flying your own aircraft	Flight Recency (VFR) Current? Yes No *rqd if flying your own aircraft
Total Logged Hours Pilot In-Command (PIC)	*rqd hrs
Aircraft Registration Class/Category	*rqd if flying your own aircraft
Aircraft Make/Model	*rqd if flying your own aircraft
Tail Number	*rqd if flying your own aircraft
Available passenger seats:	*rqd if flying your own aircraft PLEASE NOTE: Two seat aircraft of any passenger-carrying-certification are most welcome! Most of our young passengers need to have a parent or caregiver on board, to be available in the very unlikely event of medical concerns in flight. Young guests are encouraged to bring 2 guest passengers, usually a parent to supervise, and a sibling or friend to share the experience. Two seaters will be assigned the least medically needy young people, to minimize potential problems in flight.
Annual Inspection Current? Yes No *rqd if flying your own aircraft	Aircraft Registration, Airworthiness Certificate, and Weight & Balance available in Aircraft? Yes No *rqd if flying your own aircraft
EAA Chapter (if any) Note: EAA national membership is required to fly this EAA Young Eagle event. Local chapter membership is not required. If you are not a member, go ahead and sign up for Take Flight for Kids anyway, then sign up for EAA membership. See the EAA website for a membership application: http://www.eaa.org	EAA Chapter Other: EAA Membership Number (if any) EAA Young Eagle Number (if any) Note: If you are not an EAA member yet, sign up for Take Flight for Kids anyway and we will have a local EAA chapter contact you about EAA membership information and EAA Young Eagle's insurance.
Comments. Suggestions? Inspirational Stories? Anything else you would like to tell us?

Due Diligence

All Take Flight for Kids events are committed to safety, first and foremost. It is essential that every possible step be taken to prevent the unlikely event of an incident and/or injury on the airport grounds or in the air. Each pilot must have a valid pilot’s certificate, current medical, and meet all currency requirements in the Federal Aviation Regulations. All aircraft must be airworthy with all proper maintenance and inspections completed as set forth in the appropriate regulations.

The pilots-in-command are responsible for the safe and legal operation of their aircraft. It is expected that adequate liability insurance is current for each pilot and aircraft.

It is the responsibility of each pilot to exercise extreme care, especially considering that passengers and spectators are involved. Each flight should be conducted under FAR Part 91 rules.

By entering your name below, you certify that all aircrew, medical, aircraft currency, and airworthiness requirements are met for every flight as set forth in the Federal Aviation Regulations, and that all Young Eagle requirements as specified by Experimental Aircraft Association are met.

Your Name *rqd

Note: We may contact you with further due diligence questions once your application has been received.

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