Pilot Volunteer form

Brigade Air Camper Registration Form


Dear Camper Parent / Guardian: In order to assure the highest degree of safety, integrity, and effective ministry at our youth aviation camps, please fill out the form below and submit to Brigade Air, Inc. Your camper's registration fee should be sent directly to the hosting camp organization, and they will be contacting you with detailed instructions shortly. Please review the camper scholarship program on this web site. Each camper has a $1,000 scholarship applied to the total camp fee. Remaining camper fee amount varies with camp location, ranging from approximately $300 - $495 (after the scholarship has been applied) Thank You.

Camp Host's Name:
Camp Start Date (MM/DD/YY)

Camper’s Last Name First Name MI
Camper's Birth Date (MMDDYYYY) Age 14 - 18. Younger campers must receive prior permission. Email your request to AgeWaiver
Street Address 1
Street Address 2
City
State/Province
Zipcode
Email
Phone #, Day: Phone #, Evening:

Church you attend:
Pastor’s Name:
Church's Street Address 1
Church's Street Address 2
City
State/Province
Zipcode
Church Phone #:

Has your teen expressed an interest in aviation before now? Yes No

Have they expressed an interest in missionary aviation before now? Yes No If so, what is their interest level? 1 2 3 4 5 6 7 8 9 10
Do we have your permission to forward your contact information to a partnering mission aviation organization or school following camp? Yes No Does your teen have any physical, mental or emotional limitations? Yes No If so, what are they?
Does he / she use any prescription medications? Yes No If so, what are they?

The camper named above wishes to participate in the Brigade Air aviation program, which includes demonstration and introductory flights in an airplane. I certify that I am the child’s legal guardian, and I give him/her permission to participate in this program. I also agree to hold Brigade Air, Inc., all participants, hosts and sponsors harmless for all personal injury which might result from participation in any part of this program. I Agree I Disagree Signed - Your name:

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