Young Eagles Application Form

Step 1 of 5

Date of Application*
Date Format: DD slash MM slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City Region Post Code Country
Applicant's Mobile Phone Number*
Home Phone Number*
Applicant's Email Address*
Enter Email Confirm Email

Date of Birth*
Date Format: DD slash MM slash YYYY
Age*
School
Year*
Applicant Confirmation*
- I have read and agree to the terms and conditions of the NSAC Young Eagles Programme

Have You completed a Trial Flight?*
- Yes
What date was the Trial Flight completed?*
Date Format: DD slash MM slash YYYY
What's the name of the Instructor that took you on the Trial Flight?*

Name of Parent or Guardian*
Parent or Guardian Phone Number*
Parent or Guardian Email Address*
Enter Email Confirm Email
Parent or Guardian Confirmation*
- I have read and agree to the terms and conditions of the NSAC Young Eagles Programme

Essay (max 300 words)*
Email
This field is for validation purposes and should be left unchanged.

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09Jun

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Tuesday, North Shore Aero Club

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