July 7 to July 16
Brandon, Manitoba
Print the registration form, then fill it out and mail it along with your cheque to the address on the form
Pilot Registration Form
Name (please print): ________________________________________________
Home address: ____________________________________________________
________________________________________________________
Home telephone number: ____________________________________________
Contest address: __________________________________________________
_________________________________________________________
Phone (while on site): _______________________________________________
Insurance company: ________________________________________________
(PL/PD minimum $1,000,000)
Gliding Club: ______________________________________________________
Pilot experience: Hours: ________ Last contest: ___________________________
Last National or international contest ____________________________________
(Note: Previous contest experience required.)
Sailplane type: _____________________________ Colour: _________________
Registration: _______________________________ Contest Letters:___________
If Team Entry, Name(s) of team mates: __________________________________
Class Entered: ___________________________________ (Std., 15M. or Sports)
Crew Chief's name: _________________________________________________
Address and phone at contest: _________________________________________
__________________________________________________________
Please indicate the use of 1. Camera (date/time back) ____ 2. GNSS/FR ____ 3. Both ____
In case of emergency, notify:
Name: _____________________________________________________________
Address: ________________________________ ___________________________
Telephone: _________________________
By signing below, I hereby CERTIFY that:
______________________ Signature of pilot
______________________ Date
Note: If pilot is a minor, the signature of parent or guardian must also appear on waiver.
Signature of Guardian/Parent Date
Payment Information and Registration Fee