STUDENT REGISTRATION FORM

Complete the information below and submit. You'll receive an e-mail within 14 days confirming your registration in the EAA Ultralight Student Program. This can be helpful for someone who wants to use time flown in an ultralight to meet time requirements for a sport pilot certificate.
This program is an EAA member benefit and free of charge to EAA members.
  

*Student  Name:
*Student  EAA #:
*Student  Address:

*Student  City:
Student  State:
Student  Zip/Postal Code:  
Student  Phone:
*Student  E-mail:
 
*Instructor Name: 
*Instructor Address: 
 
 
*Instructor City: 
Instructor State: 
Instructor Zip/Postal Code: 
Instructor Phone: 
Instructor E-mail: 
*Instructor Type:  FAA CFI    UFI, BFI
*Instructor #: 

  
    

For questions or more information, contact:
EAA Ultralight Programs

P.O. Box 3086
Oshkosh, WI 54903-3086
Telephone: 920-426-6527
E-mail: ultralights@eaa.org