BGA Aerobatic Badge BRITISH GLIDING ASSOCIATION BGA AEROBATIC BADGE APPLICATION Please complete the form in clear block capitals using dark ink Please use a separate form for each qualification Payment – Please use the attached payment form. Current fees are on the BGA website http://www.gliding.co.uk/forms/bgafees.pdf 1. APPLICANTS PERSONAL PARTICULARS FOR OFFICIAL USE ONLY Date Received Applicants BGA Reference Number (if known) ……………………………………………………………………….. Title………………………………………..Surname…………………………………………………………………………. Forenames………………………………………………………………….Nationality…………………………………….. Date of Birth………………………………Place of Birth……..…………………………………………………………….. Postal Address………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………………………….. Post Code………………… …………Email Address………………………………………………………………………. Tel No…………………………………………….…Mobile No……………………………………………………………… Preferred contact method – email or letter? ……………………………………………………………………………… BGA Club…………………………………………………………………………………… 2. MEDICAL FITNESS – NPPL MEDICAL DECLARATION OR OTHER MEDICAL STATUS CURRENTLY HELD Please tick - NPPL Group 1 ( ) NPPL Group 2 ( ) JAR Class 1 ( ) JAR Class 2 ( ) BGA Aerobatic Badge Application v Oct 2011 BGA Aerobatic Badge 3. TYPE OF CLAIM (please tick) Standard Known Unknown Free Sports Intermediate Unlimited Date of Flight……………………………………Place……………………………………………………………………….. Glider Type……………………………………...Ident……………………………..Launch Height………………………… 4. FLIGHT AUTHENTICATION (delete as appropriate) STANDARD - I certify that a qualifying flight as defined for the BGA Standard Aerobatic Badge was successfully completed by (full name)................................................................................................Date .................................. Name…………………………………….....Signature……………….…………………………..Date…………………… BGA AEROBATIC INSTRUCTOR OR EXAMINER / BAeA CHIEF JUDGE (delete as appropriate) SPORTS - I certify that a qualifying flight as defined for the BGA Sports Aerobatic Badge was successfully completed by (name) ...............................................................................Date………………………………………. Name…………………………………….....Signature……………….…………………………..Date…………………… INTERMEDIATE - I certify that a qualifying flight as defined for the BGA Intermediate Aerobatic Badge was successfully completed by (name) ..........................................................................................Date……….………. and that the k factor of…………………..for the sequence flown and the score achieved of……….% met or exceeded the minimum requirements for this flight. UNLIMITED - I certify that a qualifying flight as defined for the BGA Unlimited Aerobatic Badge was successfully completed by (name) ..............................................................................................................Date………………… and that the k factor of…………………..for the sequence flown and the score achieved of……….% met or exceeded the minimum requirements for this flight. Name…………………………………….....Signature……………….……………………………..Date……………… BGA AEROBATIC EXAMINER / BAeA CHIEF JUDGE (delete as appropriate) BGA Aerobatic Badge Application v Oct 2011 BGA Aerobatic Badge 5. APPLICANTS DECLARATION I certify that the particulars on this form are correct to the best of my knowledge and belief. I understand the privileges and limitations of the badge, and my personal responsibilities including medical fitness. Date……………………… Name…………………………………….……Signature……………..……………………… NOTES: 1. The candidate must have received clearance from a BGA Aerobatic Instructor to carry out the figures included at the relevant level before attempting any test. For the Standard badge this clearance may be given by a Full Cat Instructor authorised for the purpose by the local CFI. 2. The candidate must be alone in the aircraft for each test. 3. The Standard badge test may be witnessed by any BGA Aerobatic Instructor or by a Full Cat Instructor authorised for the purpose by the local CFI. 4. The Sports and Intermediate badge tests are to be witnessed by a BGA Regional Aerobatic Examiner unless scored by a BAeA judge, or judges. 5. The Unlimited badge test is to be witnessed and scored by a minimum of three BAeA, or three Internationally recognised , aerobatic judges. 6. Scoring of Sports, Intermediate and Unlimited badge tests will be in accordance with the "BAeA Criteria for Judging Aerobatic Figures" as published by the British Aerobatic Association. No qualifying flight may contain a zero score. 7. More than one test may be completed on a single flight but a separate form must be completed for each test. Instructions for the applicant  This completed form 1-6 together with the appropriate fee and your gliding certificate must be sent to the BGA office  All cheques should be made payable to the British Gliding Association and crossed BGA Aerobatic Badge Application v Oct 2011 BGA Aerobatic Badge 6. PAYMENT All fees are payable in advance with the application Cheques must be payable to ‘The British Gliding Association’ If paying by cheque, please enter the amount here £ ____________________ If paying by credit or debit card, please complete the following: Card Holders Name (in full) Amount in £ sterling £ Card No Expiry Date __ __ / __ __ Valid From __ __ / __ __ Card Security No. (last 3 numbers) Address of Cardholder if different from applicant Postcode: Current fees are on the BGA website http://www.gliding.co.uk/forms/bgafees.pdf BGA Aerobatic Badge Application v Oct 2011