Student and Rental Enrollment Form "*" indicates required fields 1Renter/Student Info2Credit Card Authorization3Rental Agreement Welcome to CruiseAIR Flight Center! New students and renters must carefully review and complete this enrollment packet prior to renting or beginning flight training. The submitted information will be used to set up your Flight Schedule Pro account, which is the online program used to schedule and bill our rental aircraft. We require digital copies of certain information. What you will need to have on hand before starting this form: A valid, photo ID Pilot's License (for current pilots) Medical certificate (if you have one) Please have digital copies of this information available before starting this form as these documents are required uploads. The file types supported for the upload are JPG, JPEG and PDF. Renter/Student InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Date of Birth* Email* Emergency Contact* First Last Phone*RelationshipPlease check all ratings held: Student PVT INST COM CFI CFII MEI ATP Endorsements: Complex/TAA Tailwheel High Performance Pilot Certificate Number:Upload the front photo of Pilot certificate (if current pilot): Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB. Upload the back photo of Pilot certificate (if current pilot): Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB. Medical Class1st2nd3rdBasicMedLatest Medical Date* Upload photo of Medical Certificate (if you have one): Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB. Driver's License/ID Number:Expiration Date: Upload photo of government issued ID or drivers license:*ID must be current and valid. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB. Upload photo of birth certificate or US passport:*ID must be current and valid. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB. Credit Card Authorization From CruiseAIR Flight Center requires payment at the time of services. If you cannot be present at the time of service, we will maintain a secure credit card authorization on file that can be processed each time flight rental/instructional services are rendered. You will be emailed a receipt following each invoice that gets billed.Name on Card:*Credit Card Type:*Please selectVisaMastercardAmexDiscoverCredit Card Number:*Exp. Date*Security Code:*Zip Code*I authorize cruiseAIR to charge for flight rental and training services to the credit card provided. I agree to pay for services in accordance with the issuing bank cardholder agreement.Date* Signature* Student Client Agreement Acknowledgement Please read and acknowledge our policies that you may also open in a new tab by clicking HERE.Consent* By signing here, I am stating that I have read and understood the Policies and Procedures outlined in Revision 1 of this manual. I will abide by all Policies and Procedures set forth by cruiseAIR.Signature*