Membership Application Form - Pacific Flying Club

Applications are considered completed when the requested information has been given, the form signed, and the applicable membership fees paid. Final acceptance is reserved for the Board of Directors or Executive Director as specified in the Club’s Bylaws. Any rejected application will be accompanied by a full refund of membership fees paid.

Please complete the following. All Required Fields are indicated.

Membership

What is your current Membership Status?

New Member

Returning Member

Member Information

Last Name *

Given Name(s) *

Preferred Name

Address

Street Address

City

Province

Province/Territory

Postal Code

Confirm Email

Telephone (Home) *

Mobile Phone

Date of Birth *

Citizenship

Immigration Status:

Canadian

Permanent Resident

Study Permit

OtherOther

Medical Number

Aviation Medical Date:

YYYY/MM/DD

Medical Category

Emergency Contact

Name *

Relationship *

Telephone (Main) *

Telephone (Other)

Address

Street Address

City

How Did You Hear About The Club?

How did you find PFC?

On Site Visit

PFC's Web Site

Information Package

Radio

Internet search

Member of SFU/UBC Aviation

Recommended by Friend/Pilot (Name):Recommended by Friend/Pilot (Name):

Other:Other:

Membership

Select Level of Membership You Are Applying For:

Voting (Yearly)

Associate (Monthly)

Activity (Non Flying)

Junior (Yearly - 18 and Under)

Category of Flying/Flight Training

Select Level of Flying/Flight Training You Are Interested In

Private Pilot Training

Commercial Pilot Training

Instructor Training

Multi-Engine Training

Multi-IEF Training

Recreation Pilot

Rental Pilot

IPC

Are You Currently A Licensed Pilot?

Yes

Record of Hours

Aircraft Type

C-152

C-172

PA 34-200

OtherOther

C-152

Dual

Solo

Instrument

Night

Total Last 60 Days

C-172

Dual

Solo

Instrument

Night

Total Last 60 Days

PA 34-200

Dual

Solo

Instrument

Night

Total Last 60 Days

Other:

Dual

Solo

Instrument

Night

Total Last 60 Days

Dispatch Use Only

Copy of Licence taken

Dispatcher Initial

Clear

Date Completed

Copy of Medical taken

Dispatcher Initial

Clear

Date Completed

Membership Acknowledgements

I hereby submit this application for membership in the Pacific Flying Club, and wish to participate under the membership category as indicated. I also pledge at this time to abide by all the Bylaws, rules, policies and regulations of the Pacific Flying Club and the Canadian Air Regulations of Transport Canada. In addition, I agree to comply with the following requirements, made to safeguard myself, my passengers, the aircraft and the Club:

To be fully conversant with the Club's rules, regulations, policies and procedures as specified in the Club's Member Handbook
To inspect and ground-check the aircraft before flying, and not to depart unless fully satisfied the aircraft is airworthy and, in the condition, and with the equipment specified in the aircraft log books and documentation
To permit no unauthorized persons to fly the aircraft
To pay for any and all losses or damages to the aircraft not covered by insurance or recoverable from other persons and the deductible portion of any insurance claims, while the aircraft is under my command
To return the aircraft at the previously designated hour, or notify the Dispatcher, CFI or designate immediately
To leave the aircraft in a clean condition, with all switches off, control locks in place, and tie downs secure
To report any and all damages and/or losses and/or injuries to Club management without delay
To pay all charges and fees within the appointed time and be liable for all costs of collection of overdue amounts. I understand that any charges pertaining to my flights after the flight will be charged to the above credit card. (Landing fees, parking, Nav Canada charges, etc.)
I also understand that any amounts owing will be charged to the above credit card unless prior arrangements for payment have been arranged. I also understand that any amounts owing will incur an interest charge on the unpaid balance on the last day of each month owed at a rate set by the Club as per the Member Handbook and that any NSF cheques will be subject to a service charge and must be covered by Cash, Certified Cheque, Debit Money Order, Debit, Visa or Mastercard.
In the case of commercial training, I have been given a PTIB student contract and Member Handbook to review containing the admission policy, refund policy, withdrawals policy, dispute policy, dismissal policy, grades appeal policy and privacy policy as required by the Private Training Institutions Branch.
I am aware that without a valid Transport Canada Aviation Medical Validation Certificate of the class appropriate to the licence sought, the written and flight tests cannot be conducted. As well, the licence sought will not be issued. Pacific Flying Club strongly recommends that those whose long-term goal is to acquirer a Commercial Pilot Licence get a Class 1 Aviation Medical Validation Certificate prior to starting ANY training. I agree not to hold Pacific Flying Club financially liable should I not qualify for the Aviation Medical Validation Certificate required by Transport Canada for the issuance of the licence sought.

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the Membership Acknowledgements listed above.

Dated At (Your Location):

City

Province

Province/Territory

Date:

Member's Full Name

Member's Signature

Clear

Witness Full Name

Witness's Signature

Clear

Junior Member's Waiver of Liability

To be completed by the parent or guardian of anyone 14 to 18 years of age inclusive.

I consent to my daughter/son/ward receiving flight training at the Pacific Flying Club and consent to his/her use of the Club's aircraft.

I hereby agree to indemnify and save harmless the Pacific Flying Club, its Directors, Officers, Members, Employees and aircraft owners from any and all liability; and further acknowledge the rules and regulations of Pacific Flying Club as outlined in the Member Handbook, and will guarantee the fulfilment of all legal and financial obligations incurred by my daughter/son/ward.

Parent/Guardian's Name

Address

Name of Daughter/Son/Ward

Parent/Guardian Signature

Clear

Date

Information Disclosure

Please be aware that we cannot disclose personal information, even to family members, without your permission. Select Yes, sign and date this section if you consent to PFC disclosing when you are on Club property or flying a Club aircraft.

Consent for Pacific Flying Club to disclose whereabouts

Yes, I give consent for Pacific Flying Club to disclose my whereabouts when I am on Club property as of:

Member's Full Name

Date

Tuition Tax Receipt

Will you require a Tax Receipt?

Yes

SIN (Required for Tuition Tax Receipts)

Pacific Flying Club will issue tuition tax receipts annually.
Please indicate below your preferred method of delivery.

Tax Receipt Delivery Method

Yes, I give consent to Pacific Flying Club to email my copy of the tuition tax receipt.

No, I would like to have my Tuition Tax Receipt mailed to me.

Member Signature

Clear

Date

If everything looks good, click the Submit button below!

Dispatch Use Only

Entered in FBO:

Dispatcher Initial

Clear

Date Completed

Added to Online Booking

Dispatcher Initial

Clear

Date Completed

Credit card entered in Moneris

Dispatcher Initial

Clear

Date Completed

PTIB Contract Completed

Dispatcher Initial

Clear

Date Completed

Ground School Purchased

Yes

Invoice #

International Students Only:

PTIB Contract Completed

Dispatcher Initial

Clear

Date Completed

PTIB Contract Completed

Dispatcher Initial

Clear

Date Completed

Student Application Fee Paid

Yes

Date Completed

Office Use

Added to Student master List

Added to New Member listing

Added to PTIB Tuition Sheet (Long Contract only)

Emailed Copy of Contract

reCAPTCHA

If you are human, leave this field blank.

Application for Membership

Membership

Member Information

Emergency Contact

How Did You Hear About The Club?

Membership

Category of Flying/Flight Training

Licensed Pilots Only

Record of Hours

Dispatch Use Only

Membership Acknowledgements

Junior Member's Waiver of Liability

Information Disclosure

Tuition Tax Receipt

Dispatch Use Only

International Students Only:

Office Use

Partners in training with BCIT for "Airline & Flight Operations"

Level 2 FTD-Advanced simulation used for all training including IFR renewal tests

View the live cam at Pacific Flying Club: South

View the live cam at Pacific Flying Club: East

View the live cam at Pacific Flying Club: North

COMPANY

Services Information

Contact Us

FIND US