This is the information that will be requested for your overnight or cross country travel. This form in Microsoft Word format is available below so you may print it ahead of time to turn into the front desk.
Date:_________________ Aircraft Identifier, N____________________________
Pilot Name:_____________________________________________________________
Cellphone or Pager:___ _________________________Name of contact if phone or pager does not belong to pilot ___________________________________________
Flight Leaves:(date):_________________ (time):____________________________
Expected Arrival Time at (destination)_____________________is (time)__________
and at (second destination)____________________ is (date/time)_____________
____and at (third destination)____________________is (date/time)______________
Expected Date of Return at KLZU is(date)_______________at (time)_____________
Names of Passengers: (if applicable):
____________________________________Emergency Contact_#________ _______ __________________________________ _ Emergency Contact_#________ _______
__________________________________ _ Emergency Contact_#________________
__________________________________ _ Emergency Contact_#________________
_____________________________ _____ Emergency Contact_#________________
Hotel/Accomodations Information:
Name of Hotel, Motel, or People___________________________________________
Phone Number ______Room Number______________________
Which Location if it is a chain_____________________________________________ |