Suite 3
2800 Loraine Dr.
Missoula, Montana
59803 USA
(406) 251-8457
Toll Free:
(866) LUV-FLYN
(866-588-3596)
2800 Loraine Dr.
Missoula, Montana
59803 USA
(406) 251-
(866) LUV-
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To register, we need the information you will find on the front and back of your
Expiring Flight Instructor Certificate. Please copy the following and paste it into
an email with your answers. Send to Register@HoffmanPilotCenter.com.
FOUND ON THE FRONT OF YOUR CERTIFICATE:
1. Full legal name_________________________________________________
2. Physical address________________________________________________
City_________________________State_____Zip___________ - _______
3. Nationality_________________
4. Date of Birth: ______________
5. Sex__________
6. Height in inches (current)_________
7. Weight (current)_______________
8. Hair color (current)_____________
9. Eye color______________
10. Flight Instructor Certificate Number____________________________
11. Date of Issue_______________
12. Are you a Gold Seal instructor? (is there a Gold Seal at the top right of your
Certificate?______________
13. Name you want on your name tag? (nickname) _____________________
14. What is your favorite aircraft? _________________________________
TURN OVER YOUR CERTIFICATE FOR THE FOLLOWING:
15. Flight Instructor Ratings______________________________________
_________________________________________________________
16. Valid only when accompanied by Pilot Certificate No.________________
17. Expires:________________
ARE YOU A GROUND INSTRUCTOR? ______YES ______ NO
NUMBER:_____________________ Ratings _______________________
ARE YOU ASSOCIATED WITH A KIDS AVIATION EDUCATION GROUP?
________ Website? ___________________________________________
AND: Your Telephone numbers:
Day: _______________________
Night: ______________________ Cell: _________________________
Do you want a hotel room?______ Days?___________________________
Smoking or Non______ Single or Double____________________________
(Reservations must be made two weeks before the Clinic to receive the HPC discount)
If you register by email, for security reasons we will call you to get your credit card
number for preregistration.
Expiring Flight Instructor Certificate. Please copy the following and paste it into
an email with your answers. Send to Register@HoffmanPilotCenter.com.
FOUND ON THE FRONT OF YOUR CERTIFICATE:
1. Full legal name_________________________________________________
2. Physical address________________________________________________
City_________________________State_____Zip___________ -
4. Date of Birth: ______________
5. Sex__________
6. Height in inches (current)_________
7. Weight (current)_______________
8. Hair color (current)_____________
9. Eye color______________
10. Flight Instructor Certificate Number____________________________
11. Date of Issue_______________
12. Are you a Gold Seal instructor? (is there a Gold Seal at the top right of your
Certificate?______________
13. Name you want on your name tag? (nickname) _____________________
14. What is your favorite aircraft? _________________________________
TURN OVER YOUR CERTIFICATE FOR THE FOLLOWING:
15. Flight Instructor Ratings______________________________________
_________________________________________________________
16. Valid only when accompanied by Pilot Certificate No.________________
17. Expires:________________
ARE YOU A GROUND INSTRUCTOR? ______YES ______ NO
NUMBER:_____________________ Ratings _______________________
ARE YOU ASSOCIATED WITH A KIDS AVIATION EDUCATION GROUP?
________ Website? ___________________________________________
AND: Your Telephone numbers:
Day: _______________________
Night: ______________________ Cell: _________________________
Do you want a hotel room?______ Days?___________________________
Smoking or Non______ Single or Double____________________________
(Reservations must be made two weeks before the Clinic to receive the HPC discount)
If you register by email, for security reasons we will call you to get your credit card
number for preregistration.