More info about the Gold Cup Air Rally Registration is now open! Participant Information Gold Cup Air Rally Registration FormPlease enable JavaScript in your browser to complete this form.A. PILOT INFORMATION FirstMiddleLastPilot LicenseAdressFirstLastPhoneEmailMedical CategoryIIIIIIIVLast medical date EMERGENCY CONTACT (Pilot)FirstLastPilot Fee Payment $200 CAD (Check one):Cheque enclosed:*E-transfer:Canadahelps*If E-transfer, enter Date sent to: [email protected]*If E-transfer, enter Date sent to: [email protected] (copy)B. AIRCRAFT INFORMATION (To be completed by PIC)FirstMiddleLastB. AIRCRAFT INFORMATION (To be completed by PIC) (copy)FirstMiddleLastInsurance InformationFirstLastDate of most recent Annual Inspection (DD/MM/YYYY):DocumentsValid Certificate of AirworthinessWeight & BalanceValid crew licenses and medical certificatesCertificate of registrationJourney logPilot Operating Handbook for that aircraftProof of insurance for aircraftA copy of the Intercept Orders is highly recommended (CFS)A valid current Passport. You are advised to have your passport with you during the rally, in case our route changes because of weather.Survival Gear: Appropriate for geographic area, weather and climate conditions is also required. Minimum requirements include:Means of starting a fireWater or a means of purifying waterSignalling deviceShelter (can be a blanket, tarp or means of building a shelter)First Aid KitC. COPILOT #1 / PASSENGER INFORMATION FirstMiddleLastAdress (copy)FirstLastPhone (copy) (copy)Email (copy)Pilot License copilotFor non-pilots, leave the license and medical fields blankMedical Category (Copilot) IIIIIIIVLast medical date (copilot)EMERGENCY CONTACT (Copilot)FirstLastPilot Fee Payment Copilot $200 CAD (Check one): Cheque enclosed:*E-transfer:Canadahelps*If E-transfer, enter Date sent to: [email protected]*If E-transfer, enter Date sent to: [email protected]C. COPILOT #2 / PASSENGER INFORMATION FirstMiddleLastAdress (copy) (copy)FirstLastEmail (copy) (copy)Phone (copy)Pilot License (copy) (copy)For non-pilots, leave the license and medical fields blankMedical Category (Copilot #2)IIIIIIIVLast medical date (copilot #2)EMERGENCY CONTACT (Copilot #2)FirstLastPilot Fee Payment Copilot #2 $200 CAD (Check one): Cheque enclosed:*E-transfer:Canadahelps*If E-transfer, enter Date sent to: [email protected]*If E-transfer, enter Date sent to: [email protected] (copy)Signature Type full name if submitting electronicallySubmit Twitter Facebook Pinterest Instagram Linkedin
