| Company | |
| First name* | |
| Name* | |
| Street* | |
| Zip code* | |
| Location* | |
| Country* | |
| E-mail* | |
| Cell phone* | |
| Privattelefon | |
| Geschäftstelefon | |
| Work/ Activity* | |
| Employer* | |
| Date of birth* | |
| Password* | |
| Repeat password* | |
| Active in other flight groups | |
| Where theoretical training completed | |
| Where practical training completed | |
| Reference theory teacher | |
| Reference Flight Instructor | |
| Purpose of membership* | |
| Desired membership* | |
| Emergency contact | |
| Comment | |
| Je fais une demande d'adhésion et je confirme avoir pris connaissance des statuts et du règlement du club et les accepter.* |
| Je confirme avoir lu et accepté la Déclaration de confidentialité.* |
| |