Coastal Condors Membership Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Membership dues are $30 for the year and are due Jan 1st and end December 31st. Please pay via PayPal on our website. Your membership dues go toward paying the liability insurance and assisting in the maintenance of the Windtalker, wind sock, display board, sign in board, and dune preservation. Club membership includes access to our online wind data page.

Name *

Email Address *

Emergency Contact Info (Name, Phone Number) *

Your Contact Phone Number *

City, State of Residence *

USHPA Membership Number *

USHPA Expiration Date *

USHPA Ratings (We verify all ratings with USHPA database) *

Are you an Instructor?

Yes

Clear selection

Are you an Observer?

Yes

Clear selection

Are you a Tandem instructor? *

Yes

Flying at Marina requires a current USHPA rating of H3, P3 or higher. *

I understand and agree to follow this rule.

I am going to pay my $30 membership via *

Paypal (Preferred)

Mail

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms