Scout Form - Norwich Aviation Centre

SCOUTS @ SEETHING - 12th July 2025

To be completed before the scouts can fly with NAC

Important Information about this flight

IMPORTANT INFORMATION: This flight is provided on a cost share basis by a private pilot hiring Norwich Aviation Centre's aircraft for the flight. NAC will ensure the pilot is medically fit (certificate), is qualified as a private pilot with suitable experience for the mission, with experience of flying into the aerodrome of operation and additionally qualified with an instrument rating. You agree that this flight is provided on a non-commercial basis to give your scout an experience of flight throughout their scouting journey. Any flying carries a risk and NAC make all endeavours to ensure the aircraft are provided in a fit condition and mechanically sound and with a certificate of airworthiness and suitable insurance. In signing and submitting this form you agree to the conditions under which this flight is conducted.

About you

Scout's Full Name(Required)

Parents / Guardians Full Name(Required)

Relationship To Scout(Required)

Parent/Guardian Email(Required)

Parent/Guardian Mobile Phone(Required)

Gender(Required)

Date of Birth(Required)

Scouts Weight (lbs, kg)(Required)

Your Weight: For the purposes of flight safety and accurate weight and balance calculations, we require you to provide your precise weight (please don't guess). The weight provided must reflect your weight in light clothing and shoes, as you would wear during the flight. Failure to provide an accurate weight, or if your actual weight on the day exceeds the declared amount, may result in the cancellation of your flight without a refund.

Address(Required)

Street Address Address Line 2 Town / City State / Province / Region Post Code Country

Support and abilities

Primary Language:(Required)

Does the Scout have any physical or learning support needs?(Required)

Yes

Learning or support requirements?

Physical support requirements?

Medical conditions which may affect your scouts ability to participate?

Insurance & Liability Disclaimer

General Insurance(Required)

Norwich Aviation Centre Ltd (known here as NAC) provides Public Liability Insurance and Employers Liability Insurance; NAC ensure suitable insurance for passengers engaged in flights that NAC operate. Being aware that participation in flying entails risks which could result in serious physical, mental or emotional injury or trauma, paralysis, death, or damage to your scout, third parties or others' property, I expressly agree and promise to accept and assume all of the risks of flying, including but not limited to those listed above. The participation in flying is purely voluntary, no one is forcing you or your scout to participate, and the scout elects to participate in spite of the risks. The scout and you as a parent/guardian fully understand that your scout may elect to not participate in any given flight at any time. I hereby voluntarily release, forever discharge and agree to indemnify and hold harmless NAC from any and all liability, claims, demands or causes of action which may be in any way connected with my participation in flying or the use of NAC’s equipment or facilities, including all such claims which allege negligent acts or omissions of Service Provider.

Agree

Disclaimer: All flight routes are subject to the constraints imposed by Air Traffic Control, airspace regulations, and prevailing weather conditions on the day of the flight. While we make every effort to accommodate customer route requests, there may be instances where we are unable to fly the exact route due to these restrictions. In such cases, we reserve the right to offer, at our discretion, an alternative route of equivalent flight time.

Completion

Firstly, thank you for your application, we look forward to welcoming you onboard with NAC. Please sign below to confirm the above information is true, accurate and you accept our terms. (Electronic signature acceptable)

PARENTS Initials of your first, middle and last name to sign this agreement.(Required)

Providing a false statement within this document or submitting deliberately inaccurate information may be considered a breach of the Aviation Security Act 1982.

Date

Social Media, Marketing and Imagery

NAC uses images from our customers aviation adventures for positive promotion of our customers and our business. Social media is extremely important to us being a success. NAC uses Facebook, Instagram, Threads, LinkedIn, X, and other platforms including our website to promote our business and your flying.

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