PARKWEST AIR TOURS
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2015 Pilot Agreement (To be Submitted by Pilots Only)
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Indicates required field
Name
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First
Last
Date of Birth
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Email
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Pilot Certificate Number
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Pilot Certificate Type
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Date of Issue
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Additional Ratings Held
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Date and Class of Medical Certificate
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Date of Last US Flight Review
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Total Time
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Single Engine Land
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Multi Engine Land
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Cross Country
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Have you elver had your pilot certificate suspended, revoked or surrendered?
Have you ever had your pilot certificate suspended, revoked or surrendered?
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Yes
No
If yes, explain circumstances:
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Airworthiness:
Parkwest Air Tour packages tours for pilots flying their own (provided by the pilot) aircraft. It is the responsibility of the Client/Pilot, acting in his or her capacity as Pilot-In-Command (PIC), to determine the airworthiness of the aircraft being flown.
Navigation:
For the purpose of navigational assistance on its tours, Parkwest Air Tours requires that each Client/Pilot have a pre-programmed GPS receiver in their aircraft for use on the tour. Each Client/Pilot will be supplied with a pre-planned route of flight, suggested altitudes, and a GPS coordinates for programming the Client/Pilot's GPS unit. The Client/Pilot, as Pilot In Command, agrees that these tools are for his/her navigational assistance only, and at no time should be considered reliable or obligatory in any way. Each Client/Pilot is encouraged to verify any information provided by Parkwest in terms of aircraft navigation, airspace rules, aircraft performance, and airport information.
Mechanical Difficulties:
Parkwest Air Tours can make no refunds due to delays or problems resulting from mechanical or other problems with Client/Pilot aircraft. It is the responsibility of the Client/Pilot to determine any problems or potential problems with his/her aircraft, and to determine the appropriate measures required to resolve them. Also, each Client/Pilot should familiarize himself with the airports and maintenance facilities along the tour route in the event aircraft maintenance is required during the tour. It will be the responsibility of the Client/Pilot to rejoin the group when possible. Any extraneous expenses related to a maintenance delay (food, hotel, etc.) will be the responsibility of the Client/Pilot. Because all of Parkwest Air Tours' services are prepaid, no refunds for unused hotel rooms, meals, or activities can be made.
Rules and Regulations:
The Client/Pilot accepts the following rules and regulations that are made to safeguard him or her, passengers, and the aircraft. Client/Pilot agrees:
To inform him/herself about the tour, airspace, and airports involved in the tour, and to attend the Parkwest pre-tour briefings and each and every pre-flight meeting while on the tour.
To
not
operate his or her aircraft if impaired from illness, drugs or alcohol.
To personally check the general airworthiness of his or her aircraft and the proper operation of all its related accessories, and to personally check that the fuel tanks contain sufficient fuel for the contemplated flight, that the oil is at the proper level, and that the caps on the fuel and oil tanks are secure.
To operate the aircraft in strict compliance with all applicable rules and regulations of the Federal Aviation Administration or other relevant governmental authority.
To obtain weather reports and forecasts immediately before each flight, and to
not
fly when ceilings or visibility are forecast to go below VFR minimums or when surface wind or gusts are excessive, and, in no case, to exceed his or her piloting experience and ability.
To personally verify that the aircraft is properly and securely tied down at all times when the aircraft is not in flight.
To notify Parkwest Air Tours of any malfunction of the aircraft, engine, instruments, or equipment.
Except when necessary for landings and take-offs, to
not
fly the aircraft at an altitude of less than 500 feet AGL nor below the minimum safe altitude of flight prescribed by the Federal Aviation Administration.
Select One
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I certify that
I do not certify that
A.
All statements made by me on this agreement are true and correct,
B.
I agree to abide by these Rules and Regulations and agree to the other terms presented above,
C.
All pilot and medical certificates presented by me in connection with this agreement are valid and belong to me, and
D.
I will never participate or pay for a tour provided by Parkwest Air Tours under any pilot or medical certificate that is in a revoked, suspended, or expired status.
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Date of Birth
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