Part 1: Applicant s Details Complete all spaces and PRINT CLEARLY AAFC Number Rank Surname First Name DOB SQN. *Weight **Height Home Address Postcode
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1 AAFC FORM TR68 GLIDING COURSE APPLICATION FORM (GLIDING) FLIGHT Page 1 of 2 Revised June WING AUSTRALIAN AIR FORCE CADETS (3WGAAFC) EJP/BGB Direct any queries about completing this form to APPLICATIONS OFFICER Instructions: This form must be completed and submitted so as to be received by 327 Flight by the specified closing date. Use only blue or black ink and PRINT CLEARLY Part 1: Applicant s Details Complete all spaces and PRINT CLEARLY AAFC Number Rank Surname First Name DOB SQN *Weight **Height Home Address Postcode Address Home Phone Number Mobile Number *The training aircraft have a maximum seat loading of 110kg. Students above this weight should not apply. Students over 95kg may have difficulty in complying with weight and balance requirements, depending on the instructor s weight. ** Depending on body / leg proportion, students over 180 cm in height may have difficulty fitting in the aircraft.. Part 2 Course(s) Applied for Complete full details for the course(s) you wish to attend *Gliding Course No. Location Period from (date) To (date) *Gliding Course No. Location Period from (date) To (date) First Preference **Second Preference * In the above space, nominate the COURSE Number eg 3/11, not the ACTIVITY Number which is shown on CadetOne **Do not nominate a second preference if you are not sure you will be able to attend on those dates. Students applying to attend both courses should submit a completed application for each course. Places on course will be allocated as applications are received. Once the courses are full, no more places will be allocated. Applications received after the closing date will not be considered. Part 3: Aviation Experience Please complete where applicable Gliding Hours No of Flights Solo? Awards A, B, C, etc GFA Number (if member) GFA Expiry Date No of Winch Launches (if any) Power Flying Hours Power Stage of Training (eg solo, GFPT etc) Part 4: Payment Advice. Please attach a cheque for $ per course, payable to 327 Gliding Flight AAFC Bank Name on Cheque Cheque Number Amount Part 5: Consent to be signed by parent / guardian I have read and understood the warning on the attached Gliding Federation of Australia membership application form. I certify that the above applicant is medically fit and is not suffering from any condition which may be aggravated by attending a gliding course, including any condition for which he/she is taking antibiotics, antihistamines, or any other medication. He/she is not suffering from any infectious disease (including flu or similar) and will not attend if any such condition exists at the time of the course. I understand that anyone attending with any such condition will be required to return home forthwith at their own expense. In signing this, I declare that the above particulars, attached pages and GFA form are true and correct. I further declare that I am 18 years of age or over OR I am the Parent/Guardian of the applicant. I give permission for the applicant to attend the gliding course applied for (above), fly in gliders and service aircraft and travel in service or private vehicles during the course. I am also aware that the glider training may include aerobatic manoeuvres. Name of Parent / Guardian (The applicant may sign if 18 years of age or over) Signature Date Name of Witness (not a close relative of the above) Signature Date Part 6: Squadron CO s Endorsement I accept the above cadet s nomination to attend a gliding course. The application appears complete (see Part 9 checklist). CO s Signature: Date:
2 Page 2 of 2 Part 7: Special Dietary Requirements (if any) (Attach further information if necessary) Part 8 : Important General Information. PLEASE READ CAREFULLY. 1. Course Fee: The cost of each course is currently $465.00, paid with the course application by cheque or money order made out to 327 Gliding Flight AAFC. This includes a non-refundable component of $45.00 which covers fixed costs, overheads and a contribution towards the future expansion and furtherment of AAFC Gliding. The remainder covers the cost of the actual flying, usually around 10 launches and 180 minutes of flying time. If the course is not completed, cadets may expect a partial refund. From time to time cadets may be allowed, time permitting, to undertake additional flying at their own expense. 2. Solo Flight: Typically a cadet will need to attend several courses before reaching the required standard for solo flying.. Solo flight is not permitted below15 years of age. Legally, a person flying solo must hold a 1, 3 or 12 month membership of the Gliding Federation of Australia (see below). 3. The Gliding Federation of Australia (GFA) is a self-regulated body operating under delegation from the Civil Aviation Safety Authority (CASA) and is responsible for gliding operations within Australia. Pre-solo AAFC cadets are granted a special one-week GFA membership, the cost of which is paid for by 327 Flight. On the course on which they go solo, their membership must be upgraded to a 1, 3 or 12 months membership at the cadet s expense. Any cadet who is approaching a solo standard should bring additional money to the course to cover, as a minimum, a 1 or 3 month membership (which can only be taken once). Alternatively, and certainly for further solo flying at future courses, cadets should bring payment for 12 months GFA membership, preferably in the form of a cheque made out to GLIDING FEDERATION OF AUSTRALIA. Most cadets will find it simpler and more economical to take out the full 12 months membership when they first go solo. The current cost of GFA membership (revised each May) is set out in Part 9 of this document (see below). 4. Medical Standards: On the GFA membership application form (see attached), there is a medical declaration of fitness which must be signed. IF YOU ARE UNABLE TO TRUTHFULLY SIGN THE DECLARATION, you may take the attached medical certificate to your doctor to be filled in to still allow you to fly. If you have truthfully signed the declaration you do not have to waste your money obtaining a certificate from your doctor, but still attach the blank Medical Certificate page to your application. If you are taking any prescribed or other medication, even temporarily, which may affect (1) your ability to fly in a glider or (2) your wellbeing when flying in a glider, you must let us know. If you are unsure of the effects of any medication, it is your responsibility to make your own enquiries in that regard. Part 9: Check List. Send all 5 pages of the Application Package. CO s Parent s 327 OFFICE USE Action Initials Initials Date R cd Initials Nominated on CadetOne and accepted by CO TR68 Gliding Course Application complete (2 pages) Medical Certificate page attached (whether filled in by doctor or not) * Completed GFA form attached. (see below) **Completed TR66 form attached (see below) Cheque or Money Order payable to 327 Gliding Flight AAFC attached If you are to fly solo and are not a current GFA member Bring cash or a cheque payable to Gliding Federation of Australia for: 1 or 3 month GFA membership (either one only allowed once) OR 12 months GFA membership (required for any further solo flying) 1m $ m $ m $ (small increase next due 01MAY12) * Do NOT print anything else on the back of the GFA form, which we process and send to GFA after the course **Cadets are required to bring another separate TR66 form to the course so they have a copy whilst travelling This page, relating to the undermentioned applicant, is completed and attached Cadet s Rank, Surname and Initials Signature of Parent/Guardian (Cadet may sign if 18 years or older) Date
3 MEDICAL CERTIFICATE READ THE EPLANATORY NOTES BEFORE PROCEEDING 1. YOUR DOCTOR ONLY NEEDS TO COMPLETE THIS CERTIFICATE IN THE EVENT THAT YOU CANNOT MAKE THE MEDICAL DECLARATION ON THE GFA MEMBERSHIP APPLICATION FORM. 2. IF YOU DO NOT NEED THE DOCTOR TO SUPPLY A MEDICAL CERTIFICATE (See Para 1), PLEASE SIGN BELOW AND ATTACH THE UNCOMPLETED PAGE TO YOUR COURSE APPLICATION. MEDICAL PRACTITIONER S CERTIFICATE OF FITNESS This certificate must be signed by a doctor in the event that you cannot make the medical declaration (a) or (b) on the GFA application form. Pilots who wish to hold a GFA charter authorisation and who do not hold a Flight Crew Medical Assessment, must also have this certificate signed and renewed every four years if under 40 years old and every two years if 40 years old or more, regardless of having signed the declaration on the GFA application form. I am the applicant s GP/ a CASA Designated Medical Examiner. * I hereby certify that I have examined the applicant, (name) and that to the best of my knowledge he/she is not suffering from any medical condition which would preclude him/her from: a. flying in a sailplane with another pilot * b. flying solo in a sailplane * c. carrying passengers in a sailplane for hire or reward. * (delete as appropriate) This is an initial certificate / a renewal. * * Delete as appropriate Remarks... Doctor s name (please print) Signature Date.. NOTES FOR THE GUIDANCE OF PRACTITIONERS AND PILOTS 1. The medical standards for pilots of aeroplanes are published in Civil Aviation Regulations, Schedule Minor illnesses, the donation of blood within the past 24 hours, some medications, and certain prescribed drugs may make you temporarily unfit to fly as pilot in command. 3. If you wear spectacles or contact lenses, you should carry a spare pair of spectacles easily accessible in flight. *I have made the medical declaration on the GFA membership application form and a medical certificate is not required OR *I cannot make the medical declaration on the GFA membership application form and the medical certificate is completed. *Delete as appropriate Cadet s Rank, Surname and Initials Signature of Parent/Guardian (Cadet may sign if 18 years or older) x Date
4 The Gliding Federation of Australia Inc. ABN: AAFC GFA Membership Application CADETS ONLY Applicant details - please PRINT clearly 1Cadet Gliding Course 1 Air Experience Flight 1Other Title... Surname:... Other Names. Address:.. Suburb:.. Post Code:.. Home Phone: Mobile:. Date of Birth.. / /.. Gender: Male/Female WARNING Gliding as with any flying activity can be DANGEROUS. Any person participating in the sport of gliding or learning to glide or participating in the activities of The Gliding Federation of Australia Inc (GFA) does so entirely at their own risk. It is a condition of admission to Membership of the GFA that the GFA, its office bearers, committee persons, members, servants or agents are absolved from all liability however arising from injury or damage however caused (and whether fatal or otherwise) arising out of membership of the GFA or participating in gliding, learning to glide, flying in any aircraft being used for or in connection with gliding or in any way caused by or arising out of any activity carried on by the GFA whether or not such death, injury or damage is in any manner due to any negligent act or omission, breach of duty or default on the part of the GFA, its office bearers, committee persons, members, servants or agents. Any person participating in the sport of gliding, learning to glide, flying in any aircraft being used for or in connection with gliding or in any activity carried on by the GFA is only permitted to do so on the clear understanding that this occurs entirely at their own risk. I have read (or had read to me) and understood the warning above. I hereby apply for Membership of The Gliding Federation of Australia Inc (the Federation). In so doing, I agree to be bound by the Memorandum and Articles of Association of the Federation as amended from time to time and I also agree to observe and be bound by any Rules, Regulations and By-laws which may be passed or made pursuant to the aforesaid Articles of Association. I declare that I have no disability or illness and I am not taking any medication which may make me unfit to fly. I further declare that, in the event of contracting or suspecting any of the above conditions, I will cease flying until I have obtained a medical opinion that it is safe to continue flying. I further declare that I am over 18 years of age OR I am the Parent/Guardian of the applicant who has my permission to undertake gliding flights. I do not wish to have the GFA contact me for market feedback purposes. Signature.. Date:../ /. Print Full Name if Parent /Guardian:.. MEDICAL INFORMATION: Some medical conditions may affect the safety of gliding flight and could cause participants serious injury or death. Medical clearance from a qualified medical practitioner should be obtained before undertaking a glider flight if there is any doubt about the fitness of a participant. Medical conditions that require a clearance include:- epilepsy, fits severe head injury recurrent fainting, giddiness, blackouts, abnormally high blood pressure, previous heart disease or the taking of insulin for the control of diabetes. Minor illnesses, the donation of blood, some medications and certain prescribed drugs may make one temporarily unfit to fly. Alcohol and flying don t mix. Please do not ask to fly if you have consumed alcohol that day. If applicant is under 18 years of age Parent/Guardian must sign on behalf of the applicant. Witness: I have witnessed the signature above and I am satisfied that the applicant understand the warning above. Print full name:.... Signature:. Date:./.../ Office Use Only To be completed by 327FLT AAFC Receipt Details: GFA $ 1 AEF 1 Cadet Received By: GST included 1 1 month 1 3 month 1 Date Membership activated:../.. /.. Total $ AAFC Gliding Flight/Club: 327 GLIDING FLIGHT - AAFC Revised Oct 2008 (If applicable) GFA Application No. G..
5 AAFC FORM TR66 v4.3 Revised 01 Dec 09 CONSENT FORM - AAFC ACTIVITY AUSTRALIAN AIR FORCE CADETS DECLARATION by PARENT or GUARDIAN or ADULT CADET (18+yo) Number Rank Initial(s) Surname SQN Has been accepted to attend this AAFC activity, subject to the satisfactory completion of this Declaration. AAFC ACTIVITY LOCATION From Date: To Date: Legal custody of the above named cadet is vested in: Both Parents Mother Father Guardian N/A Cadet s Date of Birth Cadet s Medicare Number & Expiry Date (mm/yy) Name of Primary Medicare Cardholder For this AAFC activity, I... (print name) being a parent / legal guardian* of the cadet named above or as a cadet of adult age* (18+years),do; (* delete where inapplicable ) 1. Acknowledge that it is my responsibility to advise the AAFC of any medical conditions or allergies my child has and to supply any special advice necessary to manage those conditions or allergies while in the care of the AAFC. The following are the recorded allergies for the above named cadet registered on the on-line system CadetOne. [Please add any unlisted conditions] 2. Advise that I have supplied with this declaration written instructions on how my child s allergies and medical conditions are to be managed while on this activity. Yes No Not Applicable 3. Give (by ticking Yes) or do not give (by ticking No) my consent as indicated for my child to: Participate in all approved AAFC activities associated with this exercise including being transported in aircraft, marine craft and land vehicles.. Yes No Participate in AAFC-supervised live firing weapons practice (military or civilian).. Yes Be photographed for the purpse of AAFC and ADF brochures, marketing or public media to No promote the AAFC from time to time. Yes No In an emergency, receive military or civil medical and/or dental assistance including surgery if necessary.*. Yes No In an emergency receive a blood transfusion.* Yes No In an emergency receive a general anaesthetic.* * Every attempt will be made to contact you prior to medical intervention. Yes No 4. Certify that my child is: Medically and physically fit to undertake this AAFC activity Not suffering from any contagious or infectious disease. Not suffering any condition likely to interfere with this AAFC activity Certify that I have seen my child s personal details in CadetOne and that all Medical Details, allergies; emergency contacts and NOK are listed correctly.. (CadetOne URL is 6. Provide the following details about my child. Are the details below correct, still current? Yes No Asthma sufferer Current Medication Yes No Tetanus injection in the last 12 months Yes No Dietary Needs: Name of Parent / Guardian (Please Print) Signature Date Witness (Please Print name must not be related) Signature Date Emergency Contact Number During Activity: Name of Contact & Relationship to Cadet: Please complete in blue or black ink. Also please check cadet s on-line CadetOne details, and update regularly if necessary.
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