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Pilot Registration 2022

Registration is divided into 5 sections: Pilot, Balloon, Clothing, Lodging, and Comments. Please complete all sections before finalizing your registration.

1. Pilot

(First and Last Name)
Certificate Type

Name of Insurance Company

In the past 5 years and while holding a Pilot Certificate have you been convicted of any offenses involving alcohol or drugs as outlined in 14FR 61.15 or 61.16?
Check one

If you answered YES to the question above, please answer the question below.
Have you filed the Notification Letter required by 61.15?

Have you ever been cited by the FAA for violation of any FAR?

Have you had an incident or accident within the past 5 years that required a report under NTSB 830?

2. Balloon

If you have not provided a photo in the past, please upload an image of your balloon.

3. Clothing

Up to 4 shirts provided for crew members. Please select sizes below.

4. Lodging - Please select hotel nights

The Hampton Inn & Suites accommodations include your choice of a Standard King Bed or Standard Double Queen Beds.

Bed Preference




By completing registration you agree to participate in all scheduled balloon activities including flight, static display, and glow. (Weather permitting)

Photographs can be taken and used for publicity which may include social media outlets.

Please complete all five sections and click the SUBMIT BUTTON to finalize your registration.

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