ࡱ> 8:7q bjbjt+t+ %,AA ] $00000000 """@b$ Z000000000F00 0 T  0$ -[vV OMAHA SOARING CLUB Incorporated 3218 Chad St, Omaha NE 68123 4022916124 MEMBERSHIP APPLICATION PERSONAL DATA Name (last, first, MI) ......................................... Address (mailing) .............................................. City..................State.......Zipcode........Country........ Home Phone......................Work Phone...................... DOB................Age........Weight.........Height....... Hair...............Eyes...............Sex.... Nationality..................................................... E_Mail.. Next Of Kin..................................................... Address...................................................... City........................State........Zipcode............. Phone Number (......) .................... Parent Or Guardian (if under 18)................................ (must Sign consent form on reverse side) SSA Member?______ Renewal Month___________ Member No.__________ Time Date Issued Certificate No...................... ............... Total Power Time ......... Private Time ......... Commercial Time ......... Air Transport ......... Tail Dragger ......... CFIA........ Expires........... ......... ............... Aircraft Flown.................................................. Tow Pilot, type AC................... ......... ............... No. Glider Tows...................... Total Glider Time ......... No. Glider Flights....... Private Glider...... ......... ............... Commercial Glider...... ......... ............... CFIG ........ Expires............ ......... ............... No. CFIG Flights....... Type Gliders Flown.............................................. Medical......................................................... Membership Approved Y/N Board of Directors Mtg Date........... ! PARENTAL CONSENT FORM!PRIVATE  Omaha Soaring Club I the undersigned, as parent/guardian of .......................................... a minor, give him/her permission to join the Omaha Soaring Club for the purpose of learning and enjoying flight in motorless aircraft. I agree to be responsible for the expenses incurred by him/her with respect to joining the club and operating its equipment such as: Initial fees Training fees Study materials Monthly dues Tow fees Damages not covered by insurance ($500 max) Signed_________________________________________ (parent or guardian) Date___________________________________________ _`vx jCJU jU5>*5  =JKwxI4u8gh!"`$$ =JKwxI4u8gh!"` 6 h   ^  Q , m n p q r s t u v w   Q R 23kl34lX 6 h   ^  Q , m n p q r s t u v w *$$   Q R 23kl34l*$$#0P/ =!"#$%TD phoenix [<@<Normal1$CJOJQJhmH nH <A@<Default Paragraph Font4&@4Footnote Reference , *14:#*Y\  @HSi3:t*7IOJXo+4]f0Bm!'V^fr+BKno& P Z [  ; = t }  Robert CraigC:\OSC\Memos\MEMAPPLI.OSC@HP DeskJet 720C SeriesPRTmate:HPFDJC06HP DeskJet 720C SeriesHP DeskJet 720C Series7d,,HP DeskJet 720C SeriesPRTmate: ,,HP DeskJet 720C Series7d,,HP DeskJet 720C SeriesPRTmate: ,,nntnn @@GTimes New Roman5Symbol3& ArialO1CourierCourier New"A hQE"c" \ 2d  Robert Craig Robert Craig Oh+'0t  $ 0 < HT\dlss Robert CraigoobeNormalC Robert Craigo6beMicrosoft Word 8.0@@xnD@@/ 5@[  ՜.+,D՜.+,, hp|    1  Title 6> _PID_GUIDAN{4E62F0C1-A0CA-11D1-8B8A-444553540000}  !"#$%&()*+,-.01234569Root Entry F@)?-[;Data 1TableWordDocument%,SummaryInformation('DocumentSummaryInformation8/CompObjjObjectPool-[-[  FMicrosoft Word Document MSWordDocWord.Document.89q