2011 GTA Registration Form

Name: 

Contest Number: 

Sailplane Make & Model: 

Insurance Carrier/ID:  

Address Street:          

City/State/Zip:   

Phone Home: 

Phone Cell:

Phone Work: 

Email: 

Emergency Contact Name:  	

Emergency Contact Phone:  

Is your glider ELT equipped?  yes/no    older 121.5 or 406Mhz?  
Do you have an Personal Locator Beacon? 
Do you fly with a SPOT gps tracking device?  
    if yes please include your personal tracking info / web link/ etc.
    AND please Register your SPOT with the SSA Sailplane Tracker
http://www.ssa.org/myhome.asp?mbr=6867486834

Is your glider FLARM equipped?  If so what model?

Race Division A Class (Experienced) or B Class (Novice):  

Highest FAI Badge: 

Approximate number of off-airfield landings:

Most recent SSA-sanctioned contest flown: 


        Suggested Trophy and expenses donation $22 

        There are 3 Payment Options:
1. Pay the annual donation via PayPal button on the website. http://www.gliderpilot.org/Requirements-To-Join-GTA
2. Pay the annual donation via PayPal to: racing.gta@gmail.com
3. Make check out to Tim Larsen and mail to the address below.

Send Registration & Waiver, to the Address Below
P.O. Box 467 
Moretown, Vt. 05660

The waiver is required from all participants but only needs to be done the first year you register.
If you have any questions call 404-273-2604  
or email  qflyer1@gmail.com