Application Form

New Member Application

We look forward to having you as part of the Hammond Flying Club! The first step is to complete the below application and after doing so our President or a member of the Board will contact you to discuss the next steps. Be sure to check out our New Member Portal for everything you'll need to be started.

Applicant Information

Name

First

Last

Email address*

Phone Number*

Street Address*

City*

State*

Zip*

Emergency Contact*

Emergency Contact Phone*

Date Of Birth*

Pilot Experience

Certificate*

Please select the highest rating you hold

Total Flying Hours*

Total Flying Hours Last 6 Months*

Total Time In Club Aircraft*

(PA-32 Cherokee Six)

Medical Class*

Medical Due*

Flight Review Due*

Date Of Last Flight

Have you been (check all that apply)*

None

Involved in any aircraft accidents or incidents

Charged with a violation of FAA regulations

Involved in a motor vehicle accident in past 3 years

Issued a moving traffic violation in past 3 years

Application Signature & Documents

Please upload copies of your pilot certificate, valid drivers license, and current medical to ensure your application is complete (there is a 5 MB per file limit). To complete your application please enter your full name to indicate your agreement to club applications terms and conditions. After submission please allow up to 1 week for review and follow up.

Drivers License*

Pilot Certificate*

Medical Certificate

Application Agreement

By entering my full name below, I understand the Board of Directors and the membership of the Hammond Flying Club determine my acceptance into the Club. If I am accepted, I agree to adhere to the policies and procedures as outlined in the Club's by-laws, membership rules, and decisions set forth by the Board of Directors.

Prefix

First

Middle

Last

How would you like to pay the application fee?

Thanks for paying the application fee online. Please click here and submit $30 securely via PayPal (payment page will open in a new window). Please be sure to note your full name as it appears on the application.

Thanks for paying the application fee by check. Please mail a check for $30 to: Russell Butz Hammond Flying Club 427 N. Theard St. PMB 110 Covington, LA 70433

Are you human?*

After pressing submit please be patient as any files included with this application will need to be securely encrypted and uploaded.

This field should be left blank