GACE Flying Club Flight Status Data Sheet

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Pilot Last, First Name (Print Clearly) GACE Member Number Date

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Area Code, Phone Number Pilot Certificate Number

Certificates/Ratings Student o Private o ATP o Flight Instructor o

Recreational o Commercial o Instrument o ASE o Instrument o

Last FAA Medical Exam ______________________________

Proficiency Review

o GACE Annual o GACE Night o Biennial o Instrument Competency Check

o Pilot Ground Review o FAR 61 Annual o Instrument Curr. Logbook Check

GACE Aircraft Checkout Student Pilot Checks

Flightæ åAirplane Questionnaires Pre-Solo Written o

o C182RG o X/C Endorsement o

o C172 o Pre-Solo X/Written o

o PA28 o Pre-Flight Test o

Instructor Certification:

I certify that the above named GACE member has satisfactorily completed the items indicated and that the member’s logbook has been endorsed in accordance with the appropriate FAA regulations.

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Instructor Signature CFI Number EXP Date GACE Number