Section 1 - Attendance Information

First Name:     Last Name:     

Section 2 - Pilot Information

Company Name (If applicable):  

Address1:   

Address2:   

 City:    State:     Zip:    

Home Phone:    

Work Phone:      

Cell Phone :       

Fax:                        

Certificate TypePrivateCommercial

Total Hours as LTA PIC :     

Total Hours as LTA PIC in Last 12 Months :  

Section 3 - Balloon Information

Name of Balloon:    

Registration Number:  

Manufacturer:  

Balloon Type:   

Year:     

Hours:   

Balloon Entry Type:  CommercialSport

Special Shape:   

YesNo

Section 4 - Crew Requirements

Will you need the Festival to provide you with crew?  

YesNo

How Many?:   

Friday Morning     Saturday Morning   Sunday Morning

Friday Evening    Saturday Evening    Sunday Evening

Section 5 - Special Flights

Will you fly in the media flight Friday morning 9/19/2008? 

YesNo

How many media/sponsor passengers can you fly?:   

^{(Passengers will be assigned by the Festival for the media flight)}

Will you fly in the Fun Flight on Sunday afternoon 9/21/2008?

YesNo

Would you like to participate in a non-flying balloon activity Saturday during the day?: YesNo

Would you like to participate in a non-flying balloon activity Sunday during the day?: YesNo

Section 6 - Details