Pilot Registration

 

Please select:
Name
Last Name
Street
City
State
Zip Code
Phone Number
Email
AMA Number
Airplane 1:
Airplane 2:
Airplane 3:
Airplane 4:
Airplane 5:


Please fill out all area's of the registration form completely.
Please make all checks payable to:
NICO
5650 Boyd Rd., 
Grove City OH, 43123

Only checks or money orders will be accepted.
General Event Information
Pilot Registration: $30.00 
Pre-registration must be received prior to 
October 30th, 2013
Registration at the door will be $35.00
Single day flight registration: $20.00

Contact Us for special Concourse Display Area 

Spectators: $5.00 (Children under 12 FREE)

Event Registration

 Pilot Name: ______________________________________________

 Address: _________________________________________________

             _________________________________________________

 Phone Number: ___________________     AMA No.: _____________

 email: ___________________________________________________

 

 Aircraft 1: ________________________________________________

 Aircraft 2: ________________________________________________

 Aircraft 4: ________________________________________________

 Aircraft 5: ________________________________________________

 Aircraft 6: ________________________________________________