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2017 New Holstein Airport Day Young Eagles Pilot Sign Up
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Name
*
Your answer
email
*
Your answer
EAA Membership Number
Your answer
Do You Hold an EAA Youth Protection Certificate?
Yes
No
No, but I will get one before the event
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Aircraft Type
Your answer
N-Number
Your answer
Number of Passengers
1
2
3
4
5
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Do You Carry Liability Insurance On The Aircraft You Would Use for the Young Eagle Flights?
Yes
No
Other:
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