WOMENS SOARING PILOTS ASSOCIATION SEMINAR REGISTRATION

Chilhowee Gliderport, Benton, Tennessee
July 3 7, 2017
Registration Deadline: May 10, 2017
Pilot/Crew Info
Pilot or Crew (select one):
Name:
Address (Street):
Address (City):
Address (State, Zip):
Address (Country):
Home phone:
Cell phone:
Email address:
Emergency Information
Emergency Contact:
Relationship:
Will he/she be on the field? - Yes
His/Her Phone Number(s): Home Cell
His/Her Address (Street City Zip):
Your relevant medical information:
Pilot Experience
US (FAA) pilot certificate? YesCertificate Number:
Pilot certificate from another country? YesCountry: Certificate Number:
Total glider PIC hours: Total hours THIS year:
Date of last Flight Review:
Highest FAI Badge:
Aircraft Information (if bringing a glider)
Manufacturer: Model:
Registration Number: Tail ID:
Insurance carrier: Policy #:
Policy Expiration Date: Owner:
*Bring proof of insurance which will be required on site prior to flight *If bringing a glider owned by another, bring a letter signed by the owner authorizing your use of the glider.
Flying In order to fly solo, a US license and current Flight Review are required.
I would like to fly (check all that apply):
with a CFIG with a local pilot solo want a Flight Review need an Examiner for a License

Choose your seminar goals (check all that apply):
Basic Instruction Improve Thermalling skills
FAI Badge Work (Please specify which Badge or Leg)
Spot Landings for C or Bronze Badge
Flight Maneuvers you would like to work on (Please Specify)
Close to solo & would like to solo at seminar Need a Flight Review Spin Training Back seat check-out
Local X-Country (Please specify Dual, Solo, Lead & Follow X-C)
Ridge Soaring rules & techniques Complete a Check-ride (Private, commercial, CFIG add-on) Glider Add-on (power pilot)
Other Goals:(Please specify)
When can we expect you? Planned arrival date:
Planned departure date:

Lodging Plans: It's up to you to book your own lodging or RV. However, we would like to know where you'll be staying, as this helps us coordinate daily ride sharing to the airport, and the possible sharing of rooms if you'd like to save money.
Are you willing to share a room at the Red Roof Inn? (See below)
Are you willing to share your RV?

Some lodging options: (Select an option below to let us know your plans)
1. Red Roof Inn
Sarah has set up a discounted block of 20 rooms at the Red Roof Inn
600 North Tennessee Ave, Etowah, TN 37331
Call to make your reservations: Phone: 423-781-7459 (First come first served)
There are 15 rooms with 2 Queen beds & 5 rooms with 1 King bed.
Prices per night, not including tax: 1-2 persons = $59.99; 3 persons = $65.99; 4 persons = $71.99, Additional $6.00.

2. Coming with an RV? Contact Sarah Arnold for a space reservation: info@chilhowee.com
3. Other Plans:

T-shirt Included with registration is one (1) short sleeved t-shirt. Additional t-shirts are available for order. Available sizes are S, M, L, Xl, XXL. Indicate size of your seminar shirt AND number of additional shirts you would like to order.
ProductSizeQuantity
Seminar shirt (included with registration)1
Additional shirt(s) $20.00 ea
Additional shirt(s) $20.00 ea
Additional shirt(s) $20.00 ea
Additional shirt(s) $20.00 ea

Want to order more shirts?Please check here if you would like someone to contact you for a larger order.

Membership in the WSPA is required for registration.
Registration for flying participants includes one seminar T-shirt, seminar materials and instructional classes, meals Mon-Fri, including the WSPA Banquet on Friday night, prizes, & a donation to the Briegleb Scholarship, which pays for one Seminar Scholarship next year.
Registration for Non-flying participants includes breakfast, lunch & dinner Mon-Fri, including the WSPA Banquet on Friday night, the T-Shirt, Briegleb Scholarship donation, and the WSPA membership.
Check here if you are registering and are using a WSPA Scholarship to help pay fees.
Please contact the WSPA treasurer at treasurer@womensoaring.org to confirm.

Registration Cost: (Flying costs are separate from this and will be billed during the seminar.)
Reg. for Flying WSPA members: $350.00
If your dues are not current as of 7-1-2017, renew your membership: $20.00
Reg. for Flying Non-WSPA members (Includes 1 year WSPA membership): $370.00
Non-flying attendee (includes meals & one seminar t-shirt): $210.00
*Additional T-Shirts Ordered above ($20 X # of shirts):
Total payment toward registration: $
Optional - Additional Donation to the WSPA Scholarship Funds: $
Total payment: $

PayPal is available for payments on the confirmation page, and also at the bottom of your confirmation Email.
Personal check or money order payable to WSPA and mail to:

WSPA Seminar
C/O Alexis Latner, WSPA Treasurer
2400 N. Braeswood #333
Houston, TX 77030-4348
Treasurer@womensoaring.org

Please register before May 30, 2016, later registrations and payments will not guarantee a seminar T-shirt in your size.

Make sure you have selected Pilot/Crew drop down at top of form, failure to do so will reset all fields of the form.

Registration is not complete until payments are received by WSPA.

Review your Information and Submit Form: