Complete the application form and one of our club members will be in touch with you shortly!

Name *

First

Last

Date of Birth *

Format: MM/DD/YYYY

Address *

Email *

Phone Number *

Format: 610-555-1212

Employer *

Employer Address *

US Citizen *

• Yes
• No

Marital Status *

• Married
• Single

State briefly why you would like to join the Reading Aero Club *

State briefly your long-term aviation goals *

Drivers License State & Number *

Format: PA – 12345678

Has your Driver's License ever been suspended or revoked? *

• Yes
• No

Have you ever been arrested for operating a motor vehicle under the influence of alcohol or drugs? *

• Yes
• No

Have you had any motor vehicle accidents within the past five years? *

• Yes
• No

Please provide three Credit references and your Bank Name *

Provide three character references: (include name and phone number) *

Had or been involved in any aircraft accidents? *

• Yes
• No

Had any violations of Federal Aviation Regulations? *

• Yes
• No

Aviation certificates or rating revoked? *

• Yes
• No

Pilots Certificates Held *

Enter N/A if none

Certificate Date(s) *

Enter N/A if none

Pilot Ratings Held *

Enter N/A if none

Rating Date(s) *

Enter N/A if none

Date of your last FAA Medical (required) *

Date of your last Flight Review *

Date of your first solo flight *

Where was your basic instruction given? *

Instruction Dates *

Enter N/A if none

Total Flight Time Logged *

Total Flight Time in past 12 months in Cessna Aircraft *

Total Flight Time in past 12 months in Cherokee Aircraft *

Where did you hear about the Reading Aero Club? *

Submit