Silent Knights, Inc.  Membership Applicatio

Ames Municipal Airport, Ames, Iowa

 

Name:__________________________________________

                    (last)                              (first)                              (M.I.)

 

Mailing Address:___________________________________

 

(City)_________________,           (State)______,          (ZIP)_____-_____

 

Email:___________________________________

 

Tel: (home)__________ (office) _________ (mobile)____________

         

Employer:________________ Occupation:___________________

 

Emergency contact:______________, ________          __________

                                       (name)                    (relat.)                    (phone)

 

Soaring Society of America membership #:______________________

(membership in SSA required before exercising flight privileges)

 

FAA pilot license grade and # (if any) _________________________

                                                                           

Biennial: (date)___________ Physical: (grade & date) ____________

 

Membership applied for:

___ active ($500 and $25/mo. dues)

___ time-pay active ($100, $10/mo. and $25/mo. dues)

___ high-school, college student ($144, no dues first year)

___ associate ($5/year, no flight privileges; may serve as tow pilot)

___ family (free for children under 18 or spouses of active members)

___ visiting ($40/day for up to 5 consecutive days)

 

I agree to help with club activities whenever I can because I understand that the Silent Knights glider club only functions with the participation of its members.  I also agree to waive any claims I may ever have against the Silent Knights, its officers, and members for any act of negligence.  I agree to pay my account in full each month and understand that flying privileges are suspended if an overdue balance exceeds $50, unless the Treasurer agrees.  I agree to read and comply with the club by-laws, the standard operation procedures, the Code of Federal Regulations as well as other applicable state and local laws.

 

__________________________                    ___________________

Signature                                                              Date

 

__________________________                    _________,           ________

Approved by                                                             Club officer,           date

 

Please attach a check payable to Silent Knights, Inc. and either give to a club officer or mail to the treasurer, Darin Sanders, 412 Teagarden, Ames, IA 50010. 

 

Silent Knights, Inc.

2009 Club Officers

Darrel Mullins, President          515-490-6779

Paul Kaufmann, V-P                    515-291-3085

Darin Sanders, Treasurer          515-988-3092

Jay Newell, Secretary                    515-460-6224

Paul McIlrath, Dir. of Equip          515-202-8548

Harry Davis, Dir. of Ops          515-988-1931

 

2009 Instructors Paul Kaufmann (chief, FAA Examiner) 515-291-3085 

Michael Burns                              515-279-6478

Tom Burns                                                                             563-299-5942    

Harry Davis                              515-988-1931

Matt Michael                              515-451-1068

Darrel Mullins                              515-490-6779

2009 Tow Pilots           Darin Sanders (chief)                    515-988-3092         

Diane Bassham          515-451-9549          Tom Burns          563-299-5942

Travis Gregory          515-451-4608          Terry Lankford          515-450-1466         

Darrel Mullins          515-490-6779          Matthew Sawhill          515-491-5311

Gary Snider          515-321-8400         

 

Reimbursement Rates          (subject to change)

Blanik L-13: $8/flight                    2-22: $5/flight                    1-34: $8/flight         

Tows: $1.60/100 feet