WSSA Membership Application
White Sands Soaring Association Membership Application.
Name *
Your answer
Birthday *
MM
/
DD
/
YYYY
Address *
Your answer
Mailing Address
Your answer
Personal Phone Number *
Your answer
Work Phone Number *
Your answer
E-Mail *
Your answer
Name of Spouse, significant other, or next of kin *
Your answer
Phone Number of spouse, significant other, or next of kin *
Your answer
Address of spouse, significant other, or next of kin *
If the same, put same.
Your answer
Membership applying for *
Dues Category *
FAI Badges
Your answer
FAA Certificates or ratings
Your answer
Total flying time - Power in hours
Your answer
Total flying time - As two pilot in hours
Your answer
Total flying time - As glider in hours
Your answer
Do you own a glider?
Do you own a power plane?
How did you hear about the WSSA?
Your answer
By applying for membership in WSSA, a club operation of volunteers, I understand that I am expected to share in the work, maintenance, and operation by such duties as tow pilot, field operations officer (FOO), club officer, and miscellaneous other functions as required.
By initialing this document you affirm that all information is filled out as accurately to your best knowledge and you agree with the above statement.
Initials *
Your answer
NOTE OF EMERGENCY NOTIFICATION FILE
You are required to fill out a emergency notification file but must sign this document in person with a witness.
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