LGE Flying Club New Member Application
If you are interested in becoming a member of the LGE Flying Club please fill out the following information as completely as possible. 
First Name *
Last Name *
Birthdate *
MM
/
DD
/
YYYY
Email *
Address *
Phone number *
Current Employer *
Driver's license number, State, and expiration date *
Emergency Contact Information (Name, Phone number, address, relation) *
Type of membership applied for *
If applying as an Associate Member, please list the name of the Primary Member and your relation.
Are you a US Citizen? *
Pilot ratings currently held *
Required
Pilot Certificate Number (if applicable) *
Current Medical Certificate *
Date of last Medical Exam *
Date of last Flight Review *
Current flight hours (Total Time, Dual Rec, PIC, Dual Given, etc) *
List any additional endorsements (Complex, High Performance, Tailwheel, High Altitude, etc) *
Have you ever been involved in an aircraft accident or incident as PIC?  *
If you answered yes to the previous question, please elaborate here *
Why do you want to join the LGE Flying Club? *
Have you been a member of any other flying clubs in the past? *
Are you primarily interested in using the club aircraft for local flights or longer multi-day trips? *
How many hours per year do you expect to fly? *
If approved for membership would you like to be considered to serve on the board or other subcommittees? *
Please describe your general aviation experience. *
What certificates or ratings do you plan to pursue in the future? *
Are you familiar and comfortable with the financial requirements of participating in general aviation? *
Please describe any in-flight emergencies or "close calls" you have experienced while flying.  *
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