To be completed by the applicant (*delete as appropriate):

I would like to apply for a Flyability Sponsored *HANG GLIDING / PARAGLIDING Tandem Flight.

• NAME______________________________________
• AGE_______________WEIGHT_________________
• ADDRESS___________________________________
• POST CODE_____________TEL. NO.____________
• E-MAIL_____________________________________
• NATURE OF DISABILITY______________________
• ARE YOU IN RECEIPT OF DLA OR DWA?_______
• HAVE YOU BEEN AWARDED A FLYABILITY *HG / PG TANDEM FLIGHT BEFORE? _______________
• SIGNED_________________DATED_____________

To be completed by a BHPA qualified tandem pilot (*delete as appropriate):

I would like to recommend the above person to be considered for a Flyability sponsored *hang gliding / paragliding Tandem flight. I have reasonable confidence that they have the physical ability and mental aptitude to safely undertake an air experience flight. I am happy to accept them as a potential tandem passenger.

• SIGNED__________________DATED_____________
• INSTRUCTORS NAME_________________________
• BHPA RATING & NO.__________________________
• SCHOOL NAME & ADDRESS___________________
• _____________________________________________
• POST CODE_______________TEL._______________
• E-MAIL______________________________________
• Do you think that any non-standard equipment or resources will be required during the flight *YES / NO If 'yes' please describe:____________________________________