Pilot Registration

Use this form to register for any of our courses as a pilot, including ground school only. You can register your non-pilot companion for our Companion Course at the same time.

If you've already registered and you want to add your non-pilot companion, use our Companion Course registration form.

Fields marked (*) are required

Full Name:	*
Name for badge:
Address:	*
Address 2:
City:	*
State:	*
Zip Code:	*

E-Mail:	*
Re-enter E-Mail:	*
Daytime Phone#:	*
Cell Phone#:
Your cell phone number is important as it may help us communicate with you during the clinic.

Date and location:	*
I am registering for:
Will this be your first BPPP program?	*
If NOT your first program, how many have you previously attended:	*

For the aicraft you are registering:
Type aircraft:	*
Aircraft N#:	*
Year aircraft built:
Dual controls? (not required)	*
Turbocharged?
Allison Turboprop?
What GPS, autopilot or other special equipment does your aircraft have?:
Are you sharing an aircraft with another attendee? If so, please give his/her name:

Please answer the following questions about your flight time:
Estimated total time:	*
Bonanza time:
Baron/Travel Air/Duchess time:
Duke time:

Are you instrument rated?	*
Pilot Certificate Number:	*
Name of companion to attend our Non-Pilot Cockpit Companion Course $165:

Did our marketing efforts influence your decision to attend?


Form of Payment:	*
Name on credit card:	*
Credit Card Number:	*
Expiration Date:	* /

Cancellation Policy: If you cancel more than two weeks before the program begins, you can receive a full refund. If you cancel within two weeks of when the program begins, you may either take another program within 12 months or receive a 50% refund. Insurance Certificate Required Contact your insurance agent and have them send a certificate of insurance plus a waiver of subrogation naming BPPP as an additional insured. The certificate must be received prior to the clinic. Your confirmation letter will give more details. After successful submission of your registration, a confirmation email will be sent to the email address you provided above and a confirmation letter will also be sent by U.S. Mail.

970-377-1877
fax 970-377-1512