Name:     _______________________________     Home Phone:  ____________________________

Address: _______________________________     youth:      __________  adult:   _________

City:        ______________________________     Postal Code:   __________   nic name_________

Fees: Open Member ______$ 70.00 (annual application / renewal fee)

 Junior Member     ______$ 25.00 (under 18 as of Jan.01)

 Senior Member     ______$ 35.00  (over  65 as of Jan.01)

 Initiation Fee         ______$100.00 (one time entry fee over & above, juniors exempt)

   Total :  $_______.00  Please deposit cash, check or money order to: account # *** **** ****

· membership form is a mandatory prerequisite for membership in F.S.P.O.

· Members who feel they are accomplished Pilots MUST have their WINGS and must be checked out by an APPROVED FSPO INSTRUCTOR before flying on their own. If approved they will be issued a FSPO PILOT CARD and full flying privileges.

· Acceptance of Non- FSPO Residents will be at the discretion of the executive.

· DISPLAY YOUR FSPO MEMBERSHIP CARDS ON YOUR FLIGHT BOX AT ALL TIMES.

· If I have indicated that I am a student, I hereby request that FSPO provide me with instruction in the flying. I understand that instruction will be provided without charge, by volunteer instructors who are skilled pilots, who will operate as safely and responsibly possible.

· I agree to hold the FSPO, its officers, directors and instructors blameless in the event of accidents involving damage or loss of models or property,  personal injury, or loss of life resulting from the operation of my wings, regardless of whether said air-craft was under the control of myself or an instructor at the time of the accident.

· FSPO acknowledges that this waiver dose not affect the applicant’s right or benefits under any insurance that is provided by ones self or the applicant’s themselves.

I hereby apply for membership in the For Special People Only Club (FSPO) and I will abide by the rules and regulations that have been established by the FSPO executive.