Introductry Flight Form - Denbigh Gliding

First Name*

Last Name*

Email*

Address (inc postcode)*

Contact Number (no spaces)*

Occupation

Mandatory Safety and Medical notes *

Mandatory Safety and Medical Notes
     
By Ticking the check box, you agree that you have read the conditions below, understand and agree to them.

Although gliding is one of the safest of the “adventurous aviation” sports - accidents
although rare, can happen. It is important that you are aware that gliding is a
potentially dangerous activity and therefore flying in a glider is not as safe as flying in
a commercial airliner.

We are not qualified to express an opinion confirming your fitness to fly and you must
ensure that you are fit to fly on each occasion. You must not fly if you are suffering
from any serious medical condition or have recently undergone surgery unless you
have a certificate of your fitness to fly from your doctor. You must not fly if you are
under the influence of alcohol or drugs.

   Please read carefully what follows and sign a membership
                          form before you go flying.

Age Limits

Children under the age of 18 will require a parent's or guardian's written consent and
if under 16 must be accompanied by a parent, guardian or other nominated adult
while at the airfield. There is no upper age limit. Children under the age of 14 will be
able to fly at the discretion of the instructor conducting the lesson.

Sizes and Weights

If you are heavier than 16 stones 4 lbs (228lb or 103kg) you may not be able to fly in
our gliders as most gliders have a pilot weight limit of 242 lb or 110kg for each seat,
which includes the weight of the parachute (15lb or 7kg). Very tall or very small
people (over 6’4’’/193cm or under 5’/152cm) may not be able to fly in our gliders.
Please seek advice from a club official.

Parking

Please note that your car insurance may not be valid while driven or parked on the
airfield.

Alcohol

Even the most moderate drinker should be aware that the Railways & Transport
Safety Act makes it an offence for pilots, including glider pilots, to fly while over the
prescribed limit for alcohol.
The Law is very clear on this and applies to you even for a trial lesson flight.

    It is against the law to fly in a glider with an alcohol concentration in your
                                 blood exceeding 20mg per 100ml.

     This is ¼ of the Drink/Drive limit and is effectively a zero tolerance limit!

This means:
• No alcohol within 8 hours before flying; no more than 5 units for a man, 3 units for a

  woman, in the 12 hours before your flight
• 1 unit is ½ a pint of ordinary strength (3.6%) beer or ½ a standard glass of 12% wine

• It takes an hour to absorb one unit of alcohol so if you have consumed a substantial
amount during the 24 hours before your flight you could still be over the limit.

When flying under instruction, you will be doing so with a suitably qualified pilot. There are medical
requirements that individuals need to satisfy before they fly solo. This does not apply to pilots under
instruction.
The following conditions may cause difficulty while flying. If you suffer from any of these, particularly
the more serious conditions, it may be wise to obtain medical opinion.
Blackouts from any cause
Epilepsy
Severe head injury
Recurrent fainting or giddiness
High blood pressure
Angina
Coronary artery disease
Bronchitis
Asthma
Sinus disease
Ear disease
Defective vision
Migraine
Diabetes of any form
Kidney stones
Psychiatric disorders
Severe motion or travel sickness
Other conditions requiring treatment with drugs
In addition, pregnancy, minor illnesses, drugs and the donation of blood may make you
temporarily unfit to fly and you should seek medical advice before doing so.
For your comfort in flight and on the airfield

Airfields are exposed places; often colder than you might expect, so be prepared to add an extra
layer!

In warm weather, you will need plenty to drink, high factor sun cream and a hat.

Try to avoid drinking diuretics such as tea, coffee and coca-cola for a couple of hours before flying
as it would be a shame to have to cut your flying short to answer a call of nature.

For those who suffer from motion or travel sickness, you may be interested to know that many
pilots achieve relief from their symptoms by wearing acupressure wrist bands.
If you have any questions during your visit, please just ask and someone should be
only too pleased to assist you.

Medical Declaration *

Medical Declaration

By ticking the checkbox, you have read, understood and agreed with the below.

When flying under instruction, you will be doing so with a suitably qualified pilot. There are specific
medical requirements that individuals need to satisfy before they fly solo. This does not apply to
pilots under instruction. Please read the medical notes that have been supplied on the back of the
Mandatory Safety Notes. I declare that I will bring to the attention of my instructor, in
confidence, any medical condition which could cause an adverse effect during flight.

I am aware that it is my personal responsibility to ensure that if there is doubt about my
fitness to fly, I will not fly and will seek advice from my GP.

I understand that a formal medical declaration countersigned by my regular GP will be required before solo
flight as set out in BGA Laws and Rules medical standards.

Medical Declaration

Emergency contact name*

Emergency contact number (no spaces)*

Voucher information. If you have bought a voucher through a separate company, ie Groupon/Into the blue/Virgin Experience days, please write any relevant voucher codes and pins here