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LINKS TO OTHER AVIATION SITES:
Aircraft Owners and Pilots Association (AOPA)
Contact Information
For more information on High Sierra Aviation, contact Mike Walsh using the information provided below.
- Telephone/FAX:
(775) 677-2FLY (677-2359)
- Postal Address:
4000 Bobolink Circle, Reno, NV 89506
- Electronic Mail:
General Information: High Sierra Aviation
Webmaster:
High Sierra Aviation Webmaster
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Use the FREE Flight Planning tool below
PRINT, COMPLETE AND SIGN THIS DOCUMENT BEFORE BRINGING IT TO HIGH SIERRA AVIATION.
ADDENDUM A
Renter Pilot Information
1. Name: ___________________________________
2. Home Address: ____________________________
_________________________________________
3. Telephone: __________________ (home) ____________________ (work)
4. Date of Birth: ______________________
5. In Case of Emergency, Notify:
Name: _______________________
Address: ______________________
______________________________
Phone: ________________________
6. Date Medical Certificate Expires: _______________________
7. Class of Medical Certificate: ___________________________
8. Date of Last Biennial Flight Review: _____________________
9. Pilot Certificate Number: _______________________________
10. Grade of Pilot Certificate (Rec, Pvt, Com, ATP): ________________
11. Ratings Held: ____________________
12. Flight Time:
Total: _____________
Single Engine: ____________
Multi-Engine: ____________
Tail Wheel: ______________
Retractable Gear: __________
Night: _____________
Instrument: _______________
Cross-Country: _____________
13. Type(s) of Aircraft Flown: ________________________________
14. You last rented an aircraft from: ________________________________
Name: _____________________
Address: ______________________
______________________________
15. Have you ever had your Pilot Certificate suspended, revoked, or surrendered?
Yes: __________
No: __________
If yes, please explain:__________________________________________
____________________________________________________________
16. Have you ever been involved in an accident or incident?
Yes: __________
No: ___________
If yes, please explain: ___________________________________________
_____________________________________________________________
I certify the above information contained in this Addendum A is true and accurate and that I will notify Operator prior to using the aircraft if any of the information contained in this Addendum changes.
DATED: ___________________
________________________________
Name (signature)