Cost Share - Norwich Aviation Centre

Cost Share Flight Information & Declaration

Name

This field is for validation purposes and should be left unchanged.

COST SHARE FLIGHT - Essential Passenger & Pilot Information and Decleration Form

Date of Flight

Aircraft Type and Callsign(Required)

G-CLWB - PA28 Warrior 3

G-CMEP - PA28 Warrior 3

Departure Airport

Destination Airport

Routing and Enroute Landings

Pilot In Command Details

Pilot Name(Required)

Pilot Licence Held(Required)

PPL without an Instrument Rating

PPL with IMC/IRR or IR

CPL

CAA Licence Number(Required)

Passengers

How Many Passengers on this Flight

1 Passenger

2 Passengers

3 Passengers

Passenger 1 Details

Name(Required)

First Last

Phone(Required)

Email Address(Required)

Email Address Confirm Email Address

Address(Required)

Street Address Address Line 2 City Post Code (Zip Code) Country

Photographic ID Upload(Required)

Accepted file types: pdf, jpg, png, Max. file size: 100 MB.

NEXT OF KIN - Name(Required)

First and Last name

This must be someone who is NOT flying with you!

NEXT OF KIN - PHONE(Required)

Passenger 2 Details

Name(Required)

First Last

Phone(Required)

Email Address(Required)

Email Address Confirm Email Address

Address(Required)

Street Address Address Line 2 City Post Code (Zip Code) Country

Photographic ID Upload(Required)

Accepted file types: pdf, jpg, png, Max. file size: 100 MB.

NEXT OF KIN - Name(Required)

First and Last name

This must be someone who is NOT flying with you!

NEXT OF KIN - Phone(Required)

Passenger 3 Details

Name(Required)

First Last

Phone(Required)

Email Address(Required)

Email Address Confirm Email Address

Address(Required)

Street Address Address Line 2 City Post Code (Zip Code) Country

Photographic ID Upload(Required)

Accepted file types: pdf, jpg, png, Max. file size: 100 MB.

NEXT OF KIN - Name(Required)

First and Last name

This must be someone who is NOT flying with you!

NEXT OF KIN - Phone(Required)

Essential Information and Declaration

ESSENTIAL PASSENGER INFORMATION

The following information is essential reading if you are intending to fly as a passenger on a cost sharing flight. Ensure you have read and understood this information before commencing your flight. By signing this declaration (either for yourself or on behalf of someone else1), you are confirming that you fully understand and accept in full the risks that can be involved in flying as a passenger on a cost sharing flight.

Cost sharing flights are flights undertaken by private individuals; the 'cost-shared' element is in
reference to the costs of the specific flight which can be shared only between the pilot and others
onboard the aircraft. These are the 'direct costs' which are those directly incurred in relation to a
specific flight (e.g. fuel, airfield charges, rental fee for an aircraft). There can be no element of profit for the pilot as these flights are not commercial. If the flight generates profit for the pilot they will be operating outside of the regulations and therefore in breach of the law, potentially rendering any insurance invalid.

The contribution towards the direct costs of the flight by the pilot must not be less than the total direct cost divided equally by the number of people on board.

You are intending to undertake a flight for which the safety rules are not as stringent as they are for commercial air transport flights where the aircraft, pilots, and operators are subject to more frequent checks and stricter oversight rules by the Civil Aviation Authority (CAA).

Under 18's - Passengers who are required to sign the declaration and consent form and who are under the age of 18, or who otherwise cannot legally or physically do so, should have the risks accepted on their behalf by an individual who has legal authority to make decisions for that person, or by an individual to whom such authority has been delegated for the relevant period.
Costs - If you believe a cost sharing flight is being operated outside of the regulations, make an online report to the CAA via Report a potential breach of aviation law link on the CAA website.
Safety - The safety and conduct of any flight, including a cost-sharing flight, is the responsibility of the pilot in command of the aircraft. The pilot must conduct the flight in accordance with the regulation for non- commercial flights with light aircraft. It is also the pilot’s responsibility to ensure the flight is appropriately insured for cost sharing flights with passengers. As a passenger it is your responsibility to check that any personal life, accident and/or health insurance you have is valid for non-commercial flights.

Passenger Decleration

I/We have watched the NAC safety video prior to the flight

I Agree

How much have you agreed to pay towards this flight in GBP (£) ?

I/we understand that should I/we be concerned about the safety of the flight or I believe the Pilot in Command is charging me/us more than an equal share of the flight costs then I/we will inform a staff member at NAC in person or by contacting NAC discretely by email or Phone. (operations@NorwichAviationCentre.co.uk | 01603 369928)

I Agree

I/we understand that the flight is carried out under the cost sharing regulations as a recreational flight and is not subject to the same safety standards as commercial operators such as airlines and I/we accept the risks associated with this type of flying.

I Agree

I/we understand that the aircraft is required to be maintained to Continuing Airworthiness Standards inline with the Approved Maintenance Program as approved by the Civil Aviation Authority.

I Agree

I/we understand that the pilot may hold a private pilot’s licence (PPL) or similar qualification, I/we also understand that the pilot may not hold the same level of medical standard required for commercial airline pilots.

I Agree

I/we have read and understood the ‘Essential Passenger Information’ section of this form. Having received all the above information, I/we am/are happy to fly on this cost sharing flight.

I Agree