flycore

New Student Form

First Name*Last Name*

Phone*

Email*

Proof of Citizenship (Passport or Government ID & Birth Certificate)*

Pilot Certificate (If Applicable)

FAA Medical Certificate (If Applicable)

Renter’s Insurance Policy (If Applicable)

Driver's License (If Applicable)

Pilot Accident, Incident, or Violation History (If yes, explain below; enter “N/A” if none)*

Signature*

Lanier Flight Center - New Student Packet

Please ensure all required fields are filled prior to signing.