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Prop Culture Aviation

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Contact

New Pilot Application

First name*

Last name*

Phone*

Email*

Aviation Interest*

Photo ID

Type of Photo ID*

ID Number*

Photo ID Upload

Flight Medical Certificate

Type of Medical Certificate*

Date of Airman Medical

Previous Flight History

Aircraft Accident History*

Select YES if you have ever been at the controls in an aircraft accident

Have You Ever Been Penalized For an FAA Violation*

Select YES if you've ever received a penalty from the FAA for violation of FARs

Total Time Single-Engine*

Total Time Multi-Engine*

Total Instrument Time*

Total Night Time*

Total Time Last 12 Months*

Date of Last Flight*

Medical Certificate Upload

Pilot Certificate Information

Certificate Number*

If you currently don't hold a pilot certificate write student

Date Issued

Pilot Certificate Upload

Pilot Certificate Ratings

None

Instrument

Student Pre-Solo

Multi-Engine

Student Post-Solo

Flight Instructor

Private

Airline Transport Pilot

Rental Application Form Signature and Submission

Signature (if under age 18, a parental consent form must accompany this form) *

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

I have completed this application truthfully.

Providing false information in the rental application is grounds for immediate termination of rental privileges.

Printed Name*

Print the name of the person signing this form

Date Signed*

Info@propcultureair.com

Olympia Regional Airport

7843 Old Hwy 99 SE

Suite M-1

Tumwater, WA 98501

Accessibility Statement

Terms & Conditions

Refund Policy

360.768.4386

Prop Culture Aviation

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